Kristin K. Wickstrom, PA

NPI #1053461632 in Barre, Massachusetts

Provider Information

NPI Number
1053461632
Entity Type
Individual
Name
Kristin K. Wickstrom, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jan 12, 2007
Last Updated
Oct 24, 2020

Practice Location

Address
151 WORCESTER RD
Address 2
BARRE FAMILY HEALTH CENTER
City
Barre
ZIP Code
01005-9002
Phone
(978) 355-6321

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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