person
Mr. Christopher Gordon Wicke, LO
Optician in Berlin, Connecticut
NPI 1992893051

Christopher Gordon Wicke is a Optician based in Newington, CT and is specialized in Optician. Christopher Gordon Wicke practices in Berlin, CT and has the professional credentials of LO. The NPI Number for Christopher Gordon Wicke is 1992893051 and holds a License No. 1380 (Connecticut).

The current practice location address for Christopher Gordon Wicke is 7 Webster Square Rd, Berlin, CT and can be reached out via phone at 860-828-6684 and via fax at 860-828-1467.

Location: 7 Webster Square Rd, Berlin, CT, 06111
person
Provider Profile Details
NPI Number
1992893051
Provider Name
Christopher Gordon Wicke
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
7 Webster Square Rd, Berlin, CT, 06111
Phone Number
860-828-6684
Fax Number
860-828-1467
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7 Webster Square Rd
City
State
Zip
06037-2326
Phone Number
860-828-6684
Fax Number
860-828-1467
person
Provider Business Mailing Address Details
Address
7 Webster Square Rd
City
State
Zip
06037-2326
Phone Number
860-828-6684
Fax Number
860-828-1467
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1380 (Connecticut)
Definition
Definition to come...
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