Wickstrom, Elizabeth Ann

Wickstrom, Elizabeth Ann is an individual health care provider with primary practice located at 8081 Township Line Rd Ste 203 , Indianapolis IN 46260-2189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Wickstrom, Elizabeth Ann can be contacted via phone (317) 415-8100.

Contact Information

Primary practice address
8081 Township Line Rd Ste 203 Indianapolis IN 46260-2189
Phone: (317) 415-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 04-24625 Kansas
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X R7N69 Missouri
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 01088352A Indiana

Profile Details

NPI number 1952473118
LBN Legal business name Wickstrom, Elizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 20th, 2022 - about 2 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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