Dr. Brian Montgomery Wicklund
MDCM, MPH | Pediatric Hematology-Oncology | Male
Dr. Brian Montgomery Wicklund, MDCM, MPH is a Kansas City, Missouri based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Brian Montgomery Wicklund is
2401 Gillham Rd, Kansas City, Missouri - 64108-4619. He can be contacted on phone at
816-234-3000.
Dr. Brian Montgomery Wicklund is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brian Montgomery Wicklund is
1275599417 which was assigned by NPPES on 25 Apr, 2006 and it was last updated on 17 Jun, 2011.
Dr. Brian Montgomery Wicklund license number is
R8H41 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Missouri.
Dr. Brian Montgomery Wicklund is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Brian Montgomery Wicklund basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Brian Montgomery Wicklund |
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| Credential : | MDCM, MPH |
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| Gender : | Male |
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Business Address:
Dr. Brian Montgomery Wicklund address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2401 Gillham Rd
Kansas City, MO, 64108-4619
United States |
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| Phone Number : | 816-234-3000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275599417 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Apr, 2006 |
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| Last Updated On : | 17 Jun, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian Montgomery Wicklund are as mentioned. Primary taxonomy code for Dr. Brian Montgomery Wicklund, MDCM, MPH is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 04-23044 | KS |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | R8H41 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brian Montgomery Wicklund such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 100117230A | MEDICAID | KS | |
| 202615506 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2401 Gillham Rd
Kansas City, MO, 64108-4619
United States |
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| Phone Number : | 816-234-3000 |
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Business Location:
Patients can refer following map for directions to
Dr. Brian Montgomery Wicklund practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.