Individual
NILS PETER WIKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 MADISON AVE FL 2, NEW YORK, NY 10022-1800
(212) 241-4812
Mailing address
1 GUSTAVE L LEVY PL # 1272, NEW YORK, NY 10029-6504
(212) 659-5559
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
290233
NY
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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