PAUL T WICKLUND (NPI# 1790756336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790756336 |
| Entity Type | Individual |
| Full Name | PAUL T WICKLUND |
| Credential | MD |
| Practice Address |
17 Exchange St W Suite 222 Saint Paul MN 55102-1045 |
| Mailing Address |
10 N Oaks Rd North Oaks MN 55127-6431 |
| Practice Telephone | 6512247854 |
| Mailing Telephone | 6517650070 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
19937 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 486372100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467535963 | Paul Eugene Wicklund | Specialist | 1716 Holdridge Cir, Wayzata, MN 55391-2026 | 2006-10-20 |
| Street Address |
17 EXCHANGE ST W SUITE 222 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588649891 | John B Davis | Internal Medicine | 17 Exchange St W, #750, Saint Paul, MN 55102-1045 | 2005-12-08 |
| 1922519339 | Amy Lynn Antonich | Family Medicine | 17 Exchange St W, Ste 622, Saint Paul, MN 55102-1225 | 2017-10-12 |
| 1730527490 | Eyes Limited | Eyewear Supplier (Equipment, not the service) | 17 Exchange St W, Suite 700, Saint Paul, MN 55102-1045 | 2013-06-04 |
| 1659678753 | Vanessa Laraine Knoedler | Obstetrics & Gynecology | 17 Exchange St W, Suite 622, Saint Paul, MN 55102-1045 | 2011-02-25 |
| 1124359559 | James D. Foley, M.d., P.a. | Clinic/Center | 17 Exchange St W, Suite 804, Saint Paul, MN 55102-1045 | 2010-01-25 |
| 1891924718 | Kathryn Burns Grande | Obstetrics & Gynecology | 17 Exchange St W, Suite 622, Saint Paul, MN 55102-1045 | 2009-07-13 |
| 1215165055 | Thomas Martin Hauth | Internal Medicine | 17 Exchange St W, Ste 500, Saint Paul, MN 55102-1045 | 2009-07-01 |
| 1669639381 | Jennifer Ann Flynn | Obstetrics & Gynecology | 17 Exchange St W, Suite 622, Saint Paul, MN 55102-1045 | 2008-05-20 |
| 1669687323 | Thomas Beatty Dunkel | Internal Medicine | 17 Exchange St W, Suite 602, Saint Paul, MN 55102-1045 | 2007-05-14 |
| 1871710947 | Lymphedema&physical Medicine Services Pa | Physical Medicine & Rehabilitation | 17 Exchange St W, Suite 600, Saint Paul, MN 55102-1045 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689015687 | Alistair Ross Demcoe | Orthopaedic Surgery | 640 Jackson St, Regions Hospital-department of Orthopaedic Surgery, Saint Paul, MN 55101-2502 | 2013-07-08 |
| 1518303676 | Robert David Wojahn | Orthopaedic Surgery | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770978629 | Lawrence Colby Ward Jr. | Orthopaedic Surgery | 701 Park Ave, Minneapolis, MN 55415-1623 | 2015-03-30 |
| 1063816718 | Erika Patricia Chirpich | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-4575 | 2014-10-09 |
| 1700041241 | Gudrun Elizabeth Mirick Mueller | Orthopaedic Surgery | 701 Park Ave, Minneapolis, MN 55415-1623 | 2008-07-24 |
| 1508044421 | Timothy Gene Hiesterman | Orthopaedic Surgery | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2008-02-01 |
| 1578756508 | Paul M Lafferty | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435 | 2007-08-22 |
| 1679773386 | Jennifer Hogan Wood | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-20 |
| 1447221361 | Randy S Twito | Orthopaedic Surgery | 435 Phalen Blvd, Healthpartners Speciality Center 435, St. Paul, MN 55130-5302 | 2006-01-30 |
| 1295706059 | Jay S Johnson | Orthopaedic Surgery | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2006-01-30 |
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on PAUL T WICKLUND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.