Shana Rose Wicklund
NPI #1437770625 in East Greenwich, Rhode Island
Provider Information
- NPI Number
- 1437770625
- Entity Type
- Individual
- Name
- Shana Rose Wicklund
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Apr 29, 2020
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 1672 S COUNTY TRL STE 302
- City
- East Greenwich
- State
- Rhode Island
- ZIP Code
- 02818-5099
- Phone
- (401) 336-3770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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