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Brent Wickstrom
NPI 1225533029 · on the registry since 2018
Practice
- Address
- 3131 Rdu Center Dr Ste 135
Morrisville, NC 27560 - Phone
- (984) 849-4447
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
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 North Carolina