Individual provider · Type 1 NPI
Garrett J. Wickman
Medical Physician Assistant · La Crosse, WI
NPI number
1285210229
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 70110491 (WI) |
| Medical Physician Assistant Primary | 363AM0700X | 587423 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1285210229
Garrett J. Wickman's National Provider Identifier is 1285210229, issued on Mar 21, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Aug 25, 2022.