JASON WICKERSHAM, M.D.
Family Medicine
Active
Individual
NPI: 1073594172
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 5450 (SD) |
Frequently Asked Questions
NPI 1073594172 is the National Provider Identifier for JASON WICKERSHAM, M.D., a Family Medicine provider located in Parkston, SD. This NPI was enumerated on November 7, 2005.
JASON WICKERSHAM, M.D. practices at 401 W GLYNN DR, Parkston, SD 57366.
Quick Facts
- NPI
- 1073594172
- Type
- Individual
- Enumerated
- Nov 7, 2005
- Last Updated
- Aug 9, 2012
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