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Individual

MARK A WIKENHEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40564
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07246WI
BCBS MN HOSP
MN
01
072J6WI
BCBS MN PRO FEE
MN
01
0900551
MEDICA
MN
01
1004260
PREFERRED ONE
WI
05
32555900
WI
05
493363000
MN
01
HP14690
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
07/26/2024
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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.

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