Dr. Karl Theodore Wickstrom, M.D.
Diagnostic Radiology
NPI: 1669476123 Arizona
76/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice15/15
21 years
Data Freshness6/10
Updated 4871 days ago
License Status
State board license data has not yet been verified for this provider. The Trust Score currently reflects NPPES data only.
State board verification is being rolled out state by state.
Practice Information
- Address
- 790 GAIL GARDNER WAY
- PRESCOTT, AZ 86305
- Phone
- (928) 776-9900
- In Practice Since
- June 10, 2005
- Data Last Updated
- February 28, 2013
NPI Details
- NPI Number
- 1669476123
- Status
- Active
- Taxonomy Code
- 2085R0202X
Data sourced from CMS NPPES public database. Last verified: February 28, 2013.
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