Individual
JESSICA L WILCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
80006
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/31/2019
Last updated
08/26/2025
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