Paul T Wicklund, MD

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

19937 Issued in MN

Practice address

17 Exchange St W
Suite 222
Saint Paul, MN 55102-1045

Phone

(651) 224-7854

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1790756336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N OAKS RD",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551276431",
            "telephone_number": "651-765-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EXCHANGE ST W",
            "address_2": "SUITE 222",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021045",
            "telephone_number": "651-224-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MN",
            "license": "19937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486372100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly S Wical, MD
• Kurt Austin Wical, PH.D.
• Wicare Homecare Services
• Mark Allen Wick, LPCC
• Noah Wick, MD
• Sarah K Wicks, PHD LP
• Samantha Widman
• Lonnie A Widmer, M.D.
• Rebecca Ann Wieben, CNP
• Laura Wiederhoeft, WHNP-BC

• Orthopaedic Trauma Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Orthopaedic Trauma Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.