Individual
MR. SHAWN WILLIAM FICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
419 S WASHINGTON ST, SUITE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Mailing address
419 S WASHINGTON ST, SUITE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
502
WY
Other
Enumeration date
08/31/2010
Last updated
06/17/2024
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