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1053477992
WANDA J WICKS
BALTIMORE, MD
NPI
1053477992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D36343)
Enumeration Date
2006-12-28
Last Update Date
2024-07-11
Business Address
Dr. WANDA J WICKS MD
4920 CAMPBELL BOULAVARD
BALTIMORE, MD 21236-5916
Phone number: 410-933-7600
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Mailing Address
Dr. WANDA J WICKS MD
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 WEST
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660
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