Most Relevant Information
Provider Data
| NPI Number: | 1003203647 |
| Provider Name: | QUINN WICKS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2015 |
| Last Updated: | 11/01/2022 |
Provider Practice Location
14701 179TH AVE SE
MONROE
WA
982721108
Practice Location Phone/Fax
| Phone: | 3607941402 |
| Fax: |
Provider Mailing Location
14701 179TH AVE SE
MONROE
WA
982721108
Provider Mailing Phone/Fax
| Phone: | 5158518876 |
| Fax: |