Karl Theodore Wickstrom

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NPI Number Detailed Information

Provider Information:

Name:	Karl Theodore Wickstrom
Gender:	M
Provider License Number If Given:	21726

NPI Information:

NPI:	1669476123
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/10/2005
Last Update Date:	2/28/2013

Provider Business Mailing Address:

Address:	790 GAIL GARDNER WAY Prescott, AZ 86305
Phone Number:	9287769900
Fax Number:	9287761444

Provider Business Practice Location Address:

Address:	790 GAIL GARDNER WAY Prescott, AZ 86305
Phone Number:	9287769900
Fax Number:	9287761444

Provider Taxonomy:

Primary:	2085R0202X
Secondary (if any):
State:	AZ

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About Karl Theodore Wickstrom

Karl Theodore Wickstrom ( KARL THEODORE WICKSTROM ) is A Radiology Physician in Prescott, AZ. The NPI Number for Karl Theodore Wickstrom is 1669476123.

The current location address for Karl Theodore Wickstrom is 790 GAIL GARDNER WAY Prescott, AZ 86305 and the contact number is 9287769900 and fax number is 9287761444. The mailing address for Karl Theodore Wickstrom is 790 GAIL GARDNER WAY Prescott, AZ 86305- 9287769900 (mailing address contact number - 9287769900).

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider Business Location on Map

FAQs:

What is the NPI Number for Karl Theodore Wickstrom ?

Answer: The NPI Number for Karl Theodore Wickstrom is 1669476123

Where is Karl Theodore Wickstrom located?

Answer: Karl Theodore Wickstrom is located at 790 GAIL GARDNER WAY Prescott, AZ 86305.

What is the specialty for Karl Theodore Wickstrom ?

Answer: The Specialty of Karl Theodore Wickstrom is A Radiology Physician.

Are there any online reviews for Karl Theodore Wickstrom ?

Answer: Not yet!

Are there any other health care providers in Prescott, AZ?

Answer: Yes, there are given below...

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