Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON W. WICKERSHAM, M.D.
ActiveFamily Medicine · PARKSTON, SD
Registration Details
- NPI Number
- 1073594172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2005 (20.453543699286 yrs)
- Last Updated
- Aug 9, 2012
- License
-
5450 (SD)
Practice Information
- Address
-
401 W GLYNN DRPARKSTON, SD, 573669605Browse SD providers · Browse ZIP 57366
- Phone
- 6059283311
- Fax
- 6059287368
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PARKSTON, SD
| Name | Credential | NPI |
|---|---|---|
| ANTOINETTE J VANDER POL | M.D. | 1689655789 |
| RICHARD W. HONKE II | M.D. | 1104807858 |
| PAUL DAVID BERNDT | M.D. | 1962936856 |
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.