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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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