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JAN JACOB-WICKLAND, PA-C

PA-C

Physician Assistant

NPI: 1508980541IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

119559(MO)

CMS Specialties

Education

OTHER

Class of 1986

Contact & Hours

Via practice · 2 locations total

Address
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141

Quick Facts

NPI
1508980541
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
40

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