| NPI | 1629121223 |
|---|---|
| Doing Business As | SUSAN WICKE, MD |
| Entity Type | Organization |
| Authorized Contact | SUSAN HOLLY WICKE Psychiatrist 919-493-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 36618) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-08-23 |