Individual
ROGER W WICKENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 GLEN COVE DR, SUITE 206, ROCKPORT, ME 04856-4235
(207) 593-5454
(207) 593-5353
Mailing address
4 GLEN COVE DR, SUITE 206, ROCKPORT, ME 04856-4235
(207) 593-5454
(207) 593-5353
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
008520
ME
Other
Enumeration date
06/16/2006
Last updated
09/24/2010
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