Individual
JOSEPH BRADLEY WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
72776
MN
207X00000X
Orthopaedic Surgery Physician
84628-20
WI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
72776
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
84628-20
WI
Other
Enumeration date
03/23/2018
Last updated
09/18/2024
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