Wickman, Mark Brent

Wickman, Mark Brent is an individual health care provider with primary practice located at 888 Ne 126Th St Suite 100, North Miami FL 33161-4964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wickman, Mark Brent can be contacted via phone (305) 895-3434.

Contact Information

Primary practice address
888 Ne 126Th St Suite 100 North Miami FL 33161-4964
Phone: (305) 895-3434
Fax: (305) 893-8288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 27814 Florida

Profile Details

NPI number 1013979186
LBN Legal business name Wickman, Mark Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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