Individual
DR. BRIAN CHRISTOPHER WICKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
615 N SULLIVAN RD, SPOKANE VALLEY, WA 99037-8574
(509) 342-9438
Mailing address
615 N SULLIVAN RD, SPOKANE VALLEY, WA 99037-8574
(509) 342-9438
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR.CH.60139083
WA
Other
Enumeration date
04/19/2010
Last updated
02/01/2011
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