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Individual
DR. MATTHEW PAUL WICKLUND
Active
Individual
DR. MATTHEW PAUL WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
DR.0057900
CO
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
U1220
TX
2084N0400X
Neurology Physician
DR.0057900
CO
Other
Enumeration date
11/08/2005
Last updated
06/28/2024
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