Organization
FRANCIS J. WAICKMAN, M.D. & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN WAICKMAN M.D. (PRACTICE OWNER)
(330) 867-3767
Entity
Organization
Contact information
Practice address
3090 W MARKET ST STE 110, FAIRLAWN, OH 44333-3615
(330) 867-3767
(330) 867-4857
Mailing address
3090 W MARKET ST STE 110, FAIRLAWN, OH 44333-3615
(330) 867-3767
(330) 867-4857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-05-9856-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197475
—
OH
Enumeration date
12/03/2007
Last updated
12/04/2024
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