Individual
DR. SUSAN HOLLY WICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 SWIFT AVE, DURHAM, NC 27705
(919) 308-6076
(919) 308-6076
Mailing address
112 SWIFT AVE, DURHAM, NC 27705
(919) 308-6076
(919) 308-6076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36618
NC
Other
Enumeration date
12/28/2006
Last updated
07/26/2013
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