Individual provider · Type 1 NPI

Wanda J. Wicks, MD

Family Medicine Physician · Baltimore, MD

NPI number 1053477992 Active

Practice location

4920 Campbell Boulavard
Baltimore, MD 21236-5916

Fax (410) 933-7601

Mailing address

2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XD36343 (MD)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1053477992

Wanda J. Wicks, MD's National Provider Identifier is 1053477992, issued on Dec 28, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 11, 2024.