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Individual

DR. MARTIN NICOLAS WIJKSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3459 5TH AVE, UPMC MONTEFIORE, 7 SOUTH, PITTSBURGH, PA 15213-3236
(412) 647-5738
Mailing address
2359 RAILROAD ST, APT 2502, PITTSBURGH, PA 15222-5601
(612) 578-4700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
000316
GA

Other

Enumeration date
01/13/2008
Last updated
09/15/2010
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