| Michael D Wicks, MD PC | |
|
347 Fairview St Silverton OR 97381-1916 | |
| (503) 873-8341 | |
| (503) 873-2328 |
| Full Name | Michael D Wicks, MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 347 Fairview St, Silverton, Oregon |
| Authorized Official Name and Position | Michael David Wicks (OWNER) |
| Authorized Official Contact | 5038738341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Wicks, MD PC 347 Fairview St Silverton OR 97381-1916 Ph: (503) 873-8341 | Michael D Wicks, MD PC 347 Fairview St Silverton OR 97381-1916 Ph: (503) 873-8341 |
| NPI Number | 1689607210 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689607210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD09070 (Oregon) | Primary |
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