Individual
SARA W WIKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2353
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11297962-1205
UT
207R00000X
Internal Medicine Physician
148192
DC
208M00000X
Hospitalist Physician
Primary
11297962-1205
UT
Other
Enumeration date
07/25/2008
Last updated
12/20/2021
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