Cary Vonn Wickersham

Counselor · Stigler, OK

Individual Active NPI

NPI number 1760796254

Practice location

1105 NW 5TH St
Stigler, OK 74462-1615
Phone
(918) 441-1669
Fax
(918) 967-8617

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NPI record

NPI
1760796254
Entity type
Individual (Type 1)
Enumeration date
July 27, 2010
Last updated
July 27, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Cary Wickersham

Cary Vonn Wickersham is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1105 NW 5TH St, Stigler, OK 74462-1615. The NPI number 1760796254 was assigned on July 27, 2010 and the record was last updated on July 27, 2010.

Frequently asked questions

What is the NPI number of Cary Vonn Wickersham?

The NPI number is 1760796254.

What is the phone number of Cary Wickersham?

The phone number listed for the practice location is (918) 441-1669.

Where is Cary Wickersham located?

1105 NW 5TH St, Stigler, OK 74462-1615.

What is the taxonomy code for Cary Wickersham?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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