Individual
JOHN CHRISTOPHER WICKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6273
Mailing address
4794 CAMPBELL AVE, WHITE BEAR LAKE, MN 55110-2913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1694
MN
Other
Enumeration date
10/19/2011
Last updated
04/19/2024
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