Wendy A Wicke
Medical Specialty
Professional ID
- NPI: 1548685175
- PECOS ID: 1456667930
- Enrollment ID: I20150828000625
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 050335
- Business Name (LBN)1: Sonora Regional Medical Center
Medical Practices
- Organization Name: Sonora Community Hospital
- Group Practice ID assigned by PECOS: 4284538505
- Number of Group Practice member: 103
Location
- Address1: 14540 Mono Way
- Address2: Indian Rock Prompt Care
- City: Sonora
- State: California
- Zip Code: 95370
- Phone Number: (209)532-3167
Location
- Address1: 14540 Mono Way 130 And
- Address2: 140 Indian Rock Physical Therapy
- City: Sonora
- State: California
- Zip Code: 95370
- Phone Number: (209)536-6670
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):