Mitchell Wicker Jr Md Psc

NPI 1093718116 - Internal Medicine - 207R00000X

NPI Details
NPI 1093718116
Enumeration Date 05/23/2005
Last Updated 01/17/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MITCHELL MITCHELL
Position OWNER
Phone (606) 439-1316
Fax (606) 435-0752
Practice Location
271 E MAIN ST
HAZARD KY, 41701-1939, US
Phone (606) 439-1316
Fax (606) 435-0752
Business Location
PO BOX 719
HAZARD KY, 41702-0719, US
Phone (606) 439-1316
Fax (606) 435-0752
Toxanomy
Taxonomy Code 207R00000X
License State Kentucky
License Number 21790
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According to our database, Mitchell Wicker Jr Md Psc NPI is 1093718116, taxonomy code is 207R00000X and license number is 21790, license state is located at Kentucky. Mitchell Wicker Jr Md Psc physically located at 271 E Main St, Hazard KY, 41701-1939. NPI Number 1033115704 has the healthcare provider type.

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1093718116 NPI number is provided on an as is basis without warranty of any kind. 1093718116 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Wicker Jr Md Psc are for informational purposes only.