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1790998300
DONALD WAYNE WICKLINE
GREENSBORO, NC
NPI
1790998300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2009-00223)
Enumeration Date
2007-05-08
Last Update Date
2011-09-09
Business Address
-- DONALD WAYNE WICKLINE MD
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-716-2255
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Mailing Address
-- DONALD WAYNE WICKLINE MD
PO BOX 602598 WAKE FOREST UNIVERSITY HEALTH SCIENCES
CHARLOTTE, NC 28260-2598
Phone number: 336-716-2255
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