person
Dr. Kyle Gary Fitzgerald Wicker JR., MD
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1912757360

Kyle Gary Fitzgerald Wicker JR. is a Student in an Organized Health Care Education/Training Program based in Austell, PA. Kyle Gary Fitzgerald Wicker JR. practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Kyle Gary Fitzgerald Wicker JR. is 1912757360 and holds a License No. (Pennsylvania).

The current practice location address for Kyle Gary Fitzgerald Wicker JR. is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 404-396-3851.

Location: 3400 Spruce St, Philadelphia, PA, 30168-2401
person
Provider Profile Details
NPI Number
1912757360
Provider Name
Kyle Gary Fitzgerald Wicker JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 30168-2401
Phone Number
404-396-3851
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
State
Zip
19104-4238
Phone Number
404-396-3851
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
State
Zip
19104-4238
Phone Number
404-396-3851
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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