Ross Wickstrom
Nurse Practitioner - Family Medicine
1184 W Locust St
Wilmington
, Ohio 45177-2009
Ross Wickstrom
Nurse Practitioner - Family Medicine
1184 W Locust St
Wilmington
, Ohio 45177-2009
(937) 382-1616
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ross Wickstrom
- 1184 W Locust St
- Wilmington, OH
- Zip : 45177-2009
- Phone : (937) 382-1616
Second Address
- Ross Wickstrom
- 1184 W Locust St
- Wilmington, OH
- Zip : 45177-2009
- Phone : (937) 382-1616
Reviews
FAQs
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What type of doctor is Ross Wickstrom
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA.19152-NP | OH |
National Provider Identifier
| NPI | 1003265364 |
|---|---|
| Provider Name | Ross Wickstrom |
| First Address | Wilmington, OH 45177-2009 |
| Second Address | Wilmington, OH 45177-2009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2016 |
| Last Update Date | 08/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.