Wickum, Daren J
Wickum, Daren J is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wickum, Daren J can be contacted via phone (651) 968-5770.Contact Information
Primary practice address
3580 Arcade St
Vadnais Heights MN 55127-7135
Phone: (651) 968-5770
Fax: (651) 968-5775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 44501 | Minnesota |
Profile Details
| NPI number | 1073587606 |
|---|---|
| LBN Legal business name | Wickum, Daren J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 2nd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073587606 | NPPES |
| Minnesota | MEDICAID | 427973500 |
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