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Search › South Dakota › Family Medicine Physician

Jason Wickersham, M.D

NPI 1073594172 · on the registry since 2005

Practice

Address
401 W Glynn Dr
Parkston, SD 57366
Phone
(605) 928-3311
Fax
(605) 928-7368
Organisation at this address
Avera At Home
St Benedict Health Center
St Benedict Health Center
St Benedict Health Center
St Benedict Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota