Individual
MR. ROBERT JOSEPH WICKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.R.T.
Contact information
Practice address
847 W VUELTA GRANADINA, SAHUARITA, AZ 85629-9505
(520) 393-8259
Mailing address
847 W VUELTA GRANADINA, SAHUARITA, AZ 85629-9505
(520) 393-8259
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4006
AZ
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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