ROBERT CHRISTOPHER WICKLUND

EAST PROVIDENCE, RI
NPI1437785821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA01222)
Enumeration Date2020-03-17
Last Update Date2021-11-01
Business Address
Mr. ROBERT CHRISTOPHER WICKLUND PA
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914-5375
Phone number: 401-457-1500
Mailing Address
Mr. ROBERT CHRISTOPHER WICKLUND PA
PO BOX 1119
PROVIDENCE, RI 02901-1119
Phone number:
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