NPI

Andrew C Wickline

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2022-10-03
Last updated
2022-10-17

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1015 W Washbourne St
City
Jay OK
Postal code
74346-4205
Phone
(918) 868-7489

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Jay, OK. 192 records in the public file.

Removal request

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