person
Jason W. Wickersham, MD
Family Medicine Physician in Parkston, South Dakota
NPI 1073594172

Jason W. Wickersham is a Family Medicine Physician based in Parkston, SD. Jason W. Wickersham practices in Parkston, SD and has the professional credentials of MD. The NPI Number for Jason W. Wickersham is 1073594172 and holds a License No. 5450 (South Dakota).

The current practice location address for Jason W. Wickersham is 401 W Glynn Dr, Parkston, SD and can be reached out via phone at 605-928-3311 and via fax at 605-928-7368.

Location: 401 W Glynn Dr, Parkston, SD, 57366-9605
person
Provider Profile Details
NPI Number
1073594172
Provider Name
Jason W. Wickersham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
401 W Glynn Dr, Parkston, SD, 57366-9605
Phone Number
605-928-3311
Fax Number
605-928-7368
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5340070 05 SD
5340340 05 SD
4995341 01 SD WELLMARK
5611620 05 SD
institution
Provider Business Practice Location Address Details
Address
401 W Glynn Dr
City
State
Zip
57366-9605
Phone Number
605-928-3311
Fax Number
605-928-7368
person
Provider Business Mailing Address Details
Address
401 W Glynn Dr
City
State
Zip
57366-9605
Phone Number
605-928-3311
Fax Number
605-928-7368
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
5450 (South Dakota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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