Individual provider · Type 1 NPI

Jerry Wickman, DC

Chiropractor · Friday Harbor, WA

NPI number 1063569770 Active

Practice location

774 Mullis St Ste A
Friday Harbor, WA 98250-7984

Fax (360) 370-5514

Mailing address

PO Box 475
Friday Harbor, WA 98250-0475

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2414 (WA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1063569770

Jerry Wickman, DC's National Provider Identifier is 1063569770, issued on Jan 4, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Friday Harbor, WA. The record was last updated on Jul 8, 2007.