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LIAM WICKENBURG
Physician Assistant
NPI: 1750074563IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
8871273(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2025
Contact & Hours
Via practice · 2 locations total
- Address
- 631 N Moonglow Ave
Kuna, ID 83634 - Phone
- (707) 666-1096
Quick Facts
- NPI
- 1750074563
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 1
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