Organization
PAUL T. WICKLUND, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T WICKLUND MD (OWNER)
(651) 238-3376
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S STE 363, EDINA, MN 55435-2121
(952) 405-8724
(952) 933-6516
Mailing address
6545 FRANCE AVE S STE 363, EDINA, MN 55435-2121
(952) 405-8724
(952) 933-6516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19937
MN
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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