Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN WICKERHAM
Active Sole ProprietorRYAN WICKERHAM is a Foot & Ankle Surgery healthcare provider located in BELCOURT, North Dakota. NPI 1063012656 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · BELCOURT, ND
Registration Details
- NPI Number
- 1063012656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2020 (5.7908092954907 yrs)
- Last Updated
- Oct 31, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
9862 46TH AVE NE 1191 KENT ADDITION1191BELCOURT, ND, 58316Browse ND providers · Browse ZIP 58316
- Phone
- 7012781111
- Fax
- 7014778507
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in BELCOURT, ND
| Name | Credential | NPI |
|---|---|---|
| MRS. CHASITY MICHELLE LAVALLIE | — | 1164021929 |
| ELLEN M DECOTEAU | — | 1710586417 |
| CHRISTINE A. THOMPSON | — | 1972103273 |
| REBECCA A WARD | — | 1467052423 |
| ROCHELLE YVETTE COUNTS | — | 1902408628 |
| BRENDA GRANT | — | 1457953358 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.