Individual
ANNA KATHERINE WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 STEWART AVE STE 100, WAUSAU, WI 54401-5449
(715) 847-0000
(715) 847-2775
Mailing address
209 NORTH EMERALD DRIVE, WAUSAU, WI 54401-3969
(715) 573-8356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8400
WI
363LF0000X
Family Nurse Practitioner
8400-33
WI
Other
Enumeration date
05/10/2018
Last updated
09/09/2022
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