ERIK MATTHEWS WICKSTRUM

PUEBLO, CO
NPI1467083881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  C-APN.0001896-C-CRNA)
Enumeration Date2020-02-04
Last Update Date2020-02-04
Business Address
ERIK MATTHEWS WICKSTRUM CRNA
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-584-4000
Mailing Address
ERIK MATTHEWS WICKSTRUM CRNA
6638 COTTONWOOD TREE DR
COLORADO SPRINGS, CO 80927-4061
Phone number: 904-502-2310
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