Individual
DAVID ANTHONY WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2206 44TH AVE N, MINNEAPOLIS, MN 55412
(612) 868-3334
Mailing address
2212 44TH AVE N, MINNEAPOLIS, MN 55412
(612) 868-3334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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