KARL WICKSTROM, M.D.
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1669476123
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | 21726 (AZ) |
Frequently Asked Questions
NPI 1669476123 is the National Provider Identifier for KARL WICKSTROM, M.D., a Radiology - Diagnostic Radiology provider located in Prescott, AZ. This NPI was enumerated on June 10, 2005.
KARL WICKSTROM, M.D. practices at 790 GAIL GARDNER WAY, Prescott, AZ 86305.
Quick Facts
- NPI
- 1669476123
- Type
- Individual
- Enumerated
- Jun 10, 2005
- Last Updated
- Feb 28, 2013
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