Individual
DR. RICHARD A WIKLUND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, CLN 3, BOSTON, MA 02114-2621
(617) 726-4929
(617) 726-6312
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38092
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038092
TUFTS HEALTH PLAN
MA
05
—
3202879
—
MA
01
—
E17062
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
07/08/2007
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