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Individual

ANDREW NADIR WICKWIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
255 N HERWALDT DR, FRESNO, CA 93701-2186
(866) 342-6012
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55075
CA
363A00000X
Physician Assistant
Primary
8552
WI
363AS0400X
Surgical Physician Assistant
55075
CA

Other

Enumeration date
10/13/2017
Last updated
03/02/2026
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