Ryan Wickerham

Practice location

Address

9862 46th Ave NE 1191 Kent Addition 1191, Belcourt, ND 58316

Phone

(701) 278-1111

Fax

(701) 477-8507

Mailing address

PO Box 2263, Belcourt, ND 58316-2263

Registered specialties

Registry record

NPI

1063012656

Entity type

Individual

Sex (as registered)

Male

NPI issued

31 Oct 2020

Record last updated

31 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.