NPI: 1629121223
Provider Name: SUSAN WICKE, MD, PC
Doing Business As: SUSAN WICKE, MD
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization
Specialization: Medical Specialty
Address:
112 SWIFT AVE
DURHAM, NC
ZIP 27705
Phone: (919) 493-3932
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SUSAN WICKE, MD, PC is a medical specialty clinic center in Durham, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SUSAN WICKE, MD, PC NPI is 1629121223. The provider is registered as an organization entity type.
The provider Is Doing Business As Susan Wicke, Md.
The provider's business location address is:
112 SWIFT AVE
DURHAM, NC
ZIP 27705-800
Phone: (919) 493-3932
Fax: (919) 493-3932
The provider's authorized official is Susan Holly Wicke .
The authorized official title is Psychiatrist and has the following contact phone number (919) 493-3932.
The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/23/2007.