Organization
THOMAS R. WIKSTROM, MD, PA
Active
Other names
Thomas R. Wikstrom, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R. WIKSTROM MD (PSYCHIATRIST/OWNER)
(904) 396-0425
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY, SUITE 2503, JACKSONVILLE, FL 32216-6282
(904) 396-0425
(904) 396-0448
Mailing address
6817 SOUTHPOINT PKWY, SUITE 2503, JACKSONVILLE, FL 32216-6282
(904) 396-0425
(904) 396-0448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME52161
FL
Other
Enumeration date
06/08/2011
Last updated
01/27/2012
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