Otto W Wickstrom Jr. M.d. Inc.

NPI #1447395330 in Columbus, Indiana

Provider Information

NPI Number: 1447395330
Entity Type: Organization
Organization Name: Otto W Wickstrom Jr. M.d. Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2360 N NATIONAL RD
City: Columbus
State: Indiana
ZIP Code: 47201-3732
Phone: (812) 372-2437

Authorized Official

Name: DR. OTTO W WICKSTROM, M.D.
Title: PHYSICIAN
Phone: (812) 372-2437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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