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1396867222
NICHOLAS WENDELL WICKERSHAM
BOULDER, CO
NPI
1396867222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CO 47842)
Enumeration Date
2007-04-03
Last Update Date
2021-03-15
Business Address
NICHOLAS WENDELL WICKERSHAM M.D.
1100 BALSAM AVE
BOULDER, CO 80304-3404
Phone number: 303-532-3500
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Mailing Address
NICHOLAS WENDELL WICKERSHAM M.D.
42 GARDEN CTR
BROOMFIELD, CO 80020-1730
Phone number: 303-465-0401
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