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1972564375
MARTIN B WICE
SAINT LOUIS, MO
NPI
1972564375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO R3G96)
Enumeration Date
2006-03-28
Last Update Date
2018-01-30
Business Address
Dr. MARTIN B WICE MD
4921 PARKVIEW PL
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-4503
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Mailing Address
Dr. MARTIN B WICE MD
660 S EUCLID AVE C B 8111
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-4503
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