person
Nicholas Wendell Wickersham, MD
Diagnostic Radiology Physician in Boulder, Colorado
NPI 1396867222

Nicholas Wendell Wickersham is a Diagnostic Radiology Physician based in Broomfield, CO and is specialized in Diagnostic Radiology. Nicholas Wendell Wickersham practices in Boulder, CO and has the professional credentials of MD. The NPI Number for Nicholas Wendell Wickersham is 1396867222 and holds a License No. 47842 (Colorado).

The current practice location address for Nicholas Wendell Wickersham is 1100 Balsam Ave, Boulder, CO and can be reached out via phone at 303-532-3500.

Location: 1100 Balsam Ave, Boulder, CO, 80020-1730
person
Provider Profile Details
NPI Number
1396867222
Provider Name
Nicholas Wendell Wickersham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Balsam Ave, Boulder, CO, 80020-1730
Phone Number
303-532-3500
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07101759 05 CO
institution
Provider Business Practice Location Address Details
Address
1100 Balsam Ave
City
State
Zip
80304-3404
Phone Number
303-532-3500
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Balsam Ave
City
State
Zip
80304-3404
Phone Number
303-532-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
47842 (Colorado)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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