Individual
DR. BRIAN MONTGOMERY WICKLUND
Active
Individual
DR. BRIAN MONTGOMERY WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDCM, MPH
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up