THOMAS R. WICKHAM

DANVILLE, PA
NPI1154372803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA001704L)
Enumeration Date2006-05-15
Last Update Date2007-07-08
Business Address
Mr. THOMAS R. WICKHAM PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-1335
Phone number: 570-271-6516
Mailing Address
Mr. THOMAS R. WICKHAM PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-3034
Phone number: 570-271-6144
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