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Search › Arizona › 2085R0202X

Karl Wickstrom, M.D

NPI 1669476123 · on the registry since 2005

Practice

Address
790 Gail Gardner Way
Prescott, AZ 86305
Phone
(928) 776-9900
Fax
(928) 776-1444
Organisation at this address
Medwise Pc
Smi Imaging Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-28

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 Arizona