# PAUL T. WICKLUND, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407155054
- **Authorized official:** PAUL T WICKLUND MD (OWNER)
- **Authorized official phone:** (651) 238-3376

## Contact information

- **Practice address:** 6545 FRANCE AVE S STE 363, EDINA, MN 55435-2121
- **Practice address phone:** (952) 405-8724
- **Practice address fax:** (952) 933-6516
- **Mailing address:** 6545 FRANCE AVE S STE 363, EDINA, MN 55435-2121
- **Mailing address phone:** (952) 405-8724
- **Mailing address fax:** (952) 933-6516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 19937 | MN | Yes |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 03/22/2011
