Karl Theodore Wickstrom M.D.

  • NPI 1669476123
According to our database, the NPI number for Karl Theodore Wickstrom M.D. is 1669476123 and activated since 18 years ago. Karl Theodore Wickstrom M.D. is an individual provider who specializes in Diagnostic Radiology, and the primary practice location is 790 Gail Gardner Way, Prescott, AZ 86305. You can also contact Karl Theodore Wickstrom M.D. via telephone number is (928) 776-9900. Provider NPI information was last updated on 02/28/2013.

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Overview of Karl Theodore Wickstrom M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/10/2005
  • Last updated: 02/28/2013

Primary Scrop of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: 21726
  • License State: AZ

Provider Mailing Address

  • Address: 790 Gail Gardner Way
    Prescott, AZ 86305
  • Phone: 928-776-9900
  • Fax: 928-776-1444

Provider Practice Location

  • Address: 790 Gail Gardner Way
    Prescott, AZ 86305
  • Phone: 928-776-9900
  • Fax: 928-776-1444

Scope of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: 21726
  • License State: AZ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 446866
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AZ
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Karl Theodore Wickstrom M.D.?
  • A: The npi number for Karl Theodore Wickstrom M.D. is 1669476123.
  • Q: What are Karl Theodore Wickstrom M.D.'s specialties?
  • A: Karl Theodore Wickstrom M.D.'s specialties are Diagnostic Radiology and different specialities.
  • Q: What is the medical license for Karl Theodore Wickstrom M.D.?
  • A: The medical license number for Karl Theodore Wickstrom M.D. is 21726 and issued in AZ in USA.
  • Q: Where is Karl Theodore Wickstrom M.D. practice location?
  • A: Karl Theodore Wickstrom M.D. is practicing at 790 Gail Gardner Way, Prescott, AZ 86305.
  • Q: How to contact Karl Theodore Wickstrom M.D.?
  • A: You can contact Karl Theodore Wickstrom M.D. via 928-776-9900.