Wiklund, Dan Algot

Wiklund, Dan Algot is an individual health care provider with primary practice located at 929 E Main Ave Suite 210, Puyallup WA 98372-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Wiklund, Dan Algot can be contacted via phone (253) 848-9563.

Contact Information

Primary practice address
929 E Main Ave Suite 210 Puyallup WA 98372-3116
Phone: (253) 848-9563
Fax: (253) 840-5519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD00018183 Washington

Profile Details

NPI number 1386645976
LBN Legal business name Wiklund, Dan Algot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 26th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386645976 NPPES
Washington MEDICAID 1050863
Washington Other 53031
Washington MEDICAID 7095656
Washington Other 53030

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