Wicklund, Paul T

Wicklund, Paul T is an sole proprietor health care provider with primary practice located at 17 Exchange St W Suite 222, Saint Paul MN 55102-1045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Wicklund, Paul T can be contacted via phone (651) 224-7854.

Contact Information

Primary practice address
17 Exchange St W Suite 222 Saint Paul MN 55102-1045
Phone: (651) 224-7854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 19937 Minnesota

Profile Details

NPI number 1790756336
LBN Legal business name Wicklund, Paul T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Oct 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790756336 NPPES
Minnesota MEDICAID 486372100

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