Provider Demographics
NPI:1629241179
Name:WICKLUND, SARAH E (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:WICKLUND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 11616
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85318-1616
Mailing Address - Country:US
Mailing Address - Phone:480-562-6600
Mailing Address - Fax:480-562-6606
Practice Address - Street 1:8585 E HARTFORD DR STE 103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5472
Practice Address - Country:US
Practice Address - Phone:480-562-6600
Practice Address - Fax:480-562-6606
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2021-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ456612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry