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Individual

MR. ROBERT THOMAS WICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8950 N KENDALL DR STE 407W, MIAMI, FL 33176-2132
(305) 271-6159
(305) 271-6851
Mailing address
8950 N KENDALL DR STE 407W, MIAMI, FL 33176-2132
(305) 271-6159
(305) 271-6851

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
55781
AZ
207T00000X
Neurological Surgery Physician
Primary
ME151082
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
369049
AZ
Enumeration date
05/02/2011
Last updated
07/22/2021
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