Individual
DR. BRIAN MONTGOMERY WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDCM, MPH
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
04-23044
KS
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R8H41
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117230A
—
KS
05
—
202615506
—
MO
Enumeration date
04/25/2006
Last updated
06/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us