Individual
DR. JEFFREY STEPHEN WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5001 COMMERCE DR, BAKERSFIELD, CA 93309-0648
(661) 374-5457
(661) 410-8685
Mailing address
8200 STOCKDALE HWY, STE M10-357, BAKERSFIELD, CA 93311-1091
(661) 374-5457
(661) 410-8685
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G74695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447038
—
AZ
Enumeration date
07/28/2005
Last updated
04/10/2017
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