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Search › Pennsylvania › 207R00000X

Alexis Wickersham, M.D

NPI 1720346919 · on the registry since 2012 · sole proprietor

Practice

Address
833 Chestnut St
Suite 701
Philadelphia, PA 19107
Phone
(215) 955-6180
Fax
(215) 955-6410
Organisation at this address
Jeffex Inc
Genzyme Corporation
The Nemours Foundation
Mental Health Partnerships
Thomas Jefferson University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
815

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
Licence states on file
IA, PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania