DR. Paul Eugene Wicklund, M.D.

NPI #1467535963 in Wayzata, Minnesota

Provider Information

NPI Number: 1467535963
Entity Type: Individual
Name: DR. Paul Eugene Wicklund, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Oct 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1716 HOLDRIDGE CIR
City: Wayzata
State: Minnesota
ZIP Code: 55391-2026
Phone: (952) 473-1323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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