Quinn Wicks M.D.

NPI 1003203647 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1003203647
Gender Male
Enumeration Date 04/21/2015
Last Updated 04/21/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
6071 W OUTER DR
DETROIT MI, 48235-2624, US
Phone (313) 966-1020
Fax
Business Location
2204 W GRACE ST APT 2B
RICHMOND VA, 23220-2047, US
Phone (515) 851-8876
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Quinn Wicks M.D. NPI is 1003203647, taxonomy code is 390200000X Quinn Wicks M.D. physically located at 6071 W Outer Dr, Detroit MI, 48235-2624. NPI Number Quinn Wicks M.D. has the Individual type.

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1003203647 NPI number is provided on an as is basis without warranty of any kind. 1003203647 is maintained by the National Plan & Provider Enumeration System. The contents of Quinn Wicks M.D. are for informational purposes only.