Local City Search for Surgeons and Surgical Clinics DR. FREDRICK W WICKNICK DMD
Surgery Yellow Pages
Bellingham, Washington
Provider NPI: 1659310217
Provider Information:DR. FREDRICK W WICKNICK DMD
Practice Location:
3136 SQUALICUM PKWY SUITE #B BELLINGHAM, WA 98225 US
Tel: 360-671-4859 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | WA | DE00006347 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNITED CONCORDIA | 581903 | WA | 01 |
| WDS | 08367 | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
