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Micky Wickersham
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NPI Number Detailed Information
Provider Information:
Name: | Micky Wickersham |
Gender: | F |
Provider License Number If Given: | 9012474-6004 |
NPI Information:
NPI: | 1275007338 |
Entity Type(Individual or Organization): | 1-ind |
Enumeration Date: | 1/11/2019 |
Last Update Date: | 1/11/2019 |
Provider Business Mailing Address:
Address: | 7339 S HICKORY HILL CIR Salt Lake City, UT 84121 |
Phone Number: | 8015540006 |
Fax Number: |
Provider Business Practice Location Address:
Address: | 8155 S BRIGHTON LOOP RD Brighton, UT 84121 |
Phone Number: | 8015936777 |
Fax Number: |
Provider Taxonomy:
Primary: | 101YM0800X |
Secondary (if any): | |
State: | UT |
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About Micky Wickersham
Micky Wickersham ( MICKY WICKERSHAM ) is Definition Counselor Physician in Brighton, UT.
The NPI Number for Micky Wickersham is 1275007338.
The current location address for Micky Wickersham is 8155 S BRIGHTON LOOP RD Brighton, UT 84121 and the contact number is 8015540006 and fax number is .
The mailing address for Micky Wickersham is 7339 S HICKORY HILL CIR Salt Lake City, UT 84121- 8015936777 (mailing address contact number - 8015540006).
Definition to come...
Provider Business Location on Map
FAQs:
What is the NPI Number for Micky Wickersham ?
Answer: The NPI Number for Micky Wickersham is 1275007338
Where is Micky Wickersham located?
Answer: Micky Wickersham is located at 8155 S BRIGHTON LOOP RD Brighton, UT 84121.
What is the specialty for Micky Wickersham ?
Answer: The Specialty of Micky Wickersham is Definition Counselor Physician.
Are there any online reviews for Micky Wickersham ?
Answer: Not yet!
Are there any other health care providers in Brighton, UT?
Answer: Yes, there are given below...
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Micky Wickersham in Other Directories
Provider don't have other directory link yet.
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