Provider profile

Individual

Nicholas Wendell Wickersham

Radiology in Boulder, CO. NPI 1396867222, listed in the CMS NPI Registry since 04/03/2007. Bills Medicare.

NPI 1396867222Specialty RadiologyEnumerated 04/03/2007
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Registry and Medicare facts

Practice location
1100 Balsam Ave, Boulder, CO 80304
CMS NPI Registry
Phone
(303) 532-3500
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
04/03/2007
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,673 Part B
CMS Medicare 2024

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