Individual provider · Type 1 NPI
Ivy Wicks, MD
Family Medicine Physician · Waldorf, MD
NPI number
1093247769
Active
Practice location
12070 Old Line Ctr Ste 302
Waldorf, MD 20602-2567
Fax (301) 870-9722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | D0091620 (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.
Another provider at this address
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About NPI 1093247769
Ivy Wicks, MD's National Provider Identifier is 1093247769, issued on Mar 31, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waldorf, MD. The record was last updated on Jun 5, 2026.