Individual provider · Type 1 NPI
Paul Eugene Wicklund, MD
Specialist · Wayzata, MN
NPI number
1467535963
Active
Practice location
1716 Holdridge Cir
Wayzata, MN 55391-2026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 17419 (MN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1467535963
Paul Eugene Wicklund, MD's National Provider Identifier is 1467535963, issued on Oct 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wayzata, MN. The record was last updated on Jul 8, 2007.