Individual
ALEXANDER WICKENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4427
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49562
IA
Other
Enumeration date
05/23/2017
Last updated
08/15/2022
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