NPI 1255346003

Genon Michelle Wicina, MD

Practitioner Pediatrics Physician Stuart, FL

Practice location

Address: 2150 SE Salerno Rd Suite 116, Stuart, FL 34997-6572
Phone: (772) 223-5777
Mailing address: PO Box 417, Stuart, FL 34995-0417

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence ME0074465 (FL)

Other Pediatrics providers in Florida →

Registry record

NPI: 1255346003
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2006
Record last updated: 13 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.