Richard G Wicklund in Minneapolis - Pediatrics

Richard G Wicklund - NPI 1508831355

Richard G Wicklund is a Pediatrics in Minneapolis, Minnesota. Richard G Wicklund practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Richard G Wicklund is 1508831355. The last update date is 2011-12-23.

Richard G Wicklund's current location address is 8170 33rd Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 9528835375 and fax number 6123711732. The mailing address for Richard G Wicklund is 8170 33rd Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard G Wicklund
Address 8170 33rd Ave S, Minneapolis, Minnesota
Phone Number 9528835375
Fax Number 6123711732
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508831355
Provider Enumeration Date 2006-02-22
Last Updated Date 2011-12-23

Provider Mailing Address Detail

Address 8170 33rd Ave S
City Minneapolis
State Minnesota (MN)
Post Code 554254516
Phone Number 9528835375
Fax Number 6123711732

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 17804
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
662082500 MN --

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FAQs about Richard G Wicklund

What is the unique 10-digit identifier code issued to Richard G Wicklund by the Centers for Medicare & Medicaid Services?

The Richard G Wicklund has been assigned the NPI (National Provider Identifier) 1508831355 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Richard G Wicklund is geographically located?

The Richard G Wicklund is physically situated at the following location: 8170 33Rd Ave S, Minneapolis, MN, 554254516.

What is the Richard G Wicklund's area of specialization and corresponding taxonomy classification?

The Richard G Wicklund's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did the Richard G Wicklund receive its 1508831355 assignment from the Centers for Medicare & Medicaid Services?

The Richard G Wicklund was assigned its 1508831355 by the Centers for Medicare & Medicaid Services on 2006-02-22.

When was the information regarding Richard G Wicklund, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard G Wicklund, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-23.

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