| Doctor Name: | DR. LUKE MONELL WICKE |
| NPI Number: | 1588926620 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | DOS-1551 |
| Business Practice Address: | Tripler Army Medical Center 1 Jarrett White Rd Tamc, HI - 968595001 |
| Business Phone Number: | 8084333300 |
| Business Fax Number: | |
| Mailing Address: | Tripler Army Medical Center, 1 Jarrett White Rd TAMC |
| State: | HI |
| Postal Code: | 968595001 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2012 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DOS-1551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |