FREDERICK WICKWIRE

INDIANAPOLIS, IN
NPI1265414965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28115235A)
Enumeration Date2005-11-17
Last Update Date2018-01-24
Business Address
FREDERICK WICKWIRE CRNA
7150 CLEARVISTA DRIVE
INDIANAPOLIS, IN 46256-1695
Phone number: 317-621-5890
Mailing Address
FREDERICK WICKWIRE CRNA
9834 NORTHWIND DR
INDIANAPOLIS, IN 46256-9343
Phone number:
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