Michael C Wickersham (NPI# 1932572161, PAC ID# 4385935931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1932572161 |
| PAC ID by PECOS | 4385935931 |
| Professional Enrollment ID | I20160629000520 |
| Full Name | Michael C Wickersham |
| Address |
4055 S 700 Suite 103 Murray UT 84107-2508 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4055 S 700, Suite 103, Murray, UT 84107-2508 |
| Street Address |
4055 S 700 SUITE 103 |
| City | MURRAY |
| State | UT |
| Zip | 84107-2508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lehman | Clinical Social Worker | 4055 S 700, Suite 102, Salt Lake City, UT 84107-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MURRAY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Michael C Wickersham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.