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Ross Wickstrom
Family Nurse Practitioner in Wilmington, Ohio
NPI 1003265364

Ross Wickstrom is a Family Nurse Practitioner based in Wilmington, OH and is specialized in Family. Ross Wickstrom practices in Wilmington, OH. The NPI Number for Ross Wickstrom is 1003265364 and holds a License No. COA.19152-NP (Ohio).

The current practice location address for Ross Wickstrom is 1184 W Locust St, Wilmington, OH and can be reached out via phone at 937-382-1616.

Location: 1184 W Locust St, Wilmington, OH, 45177-2009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003265364
Provider Name
Ross Wickstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
1184 W Locust St, Wilmington, OH, 45177-2009
Phone Number
937-382-1616
Fax Number
Provider Enumeration Date
06/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1184 W Locust St
City
Wilmington
State
Ohio
Zip
45177-2009
Phone Number
937-382-1616
Fax Number
person
Provider Business Mailing Address Details
Address
1184 W Locust St
City
Wilmington
State
Ohio
Zip
45177-2009
Phone Number
937-382-1616
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.19152-NP (Ohio)
Definition
Definition to come...
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