Individual provider · Type 1 NPI

Dale Alan Wickstrum, MD

Radiation Oncology Physician · Tallahassee, FL

NPI number 1306890322 Active

Practice location

2003 Centre Pointe Blvd
Tallahassee, FL 32308-4893

Fax (850) 671-5900

Mailing address

PO Box 14446
Tallahassee, FL 32317-4446

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001XME0035684 (FL)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1306890322

Dale Alan Wickstrum, MD's National Provider Identifier is 1306890322, issued on May 22, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Tallahassee, FL. The record was last updated on Nov 23, 2015.