Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679507826 Deactivated / Inactive NPI Male Practitioner

Per Henrick Wickstrom

Surgery • Duluth, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Per Wickstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2006
NPI Deactivation Date March 07, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Per Wickstrom was a registered Surgery practicing in Duluth, MN. Throughout an active medical career spanning 12 years, Per Wickstrom provided care at the practice location at 400 E 3RD ST until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

400 E 3rd St

Duluth, MN 558051951

Telephone 2187868364
Associated Practice Facility / Clinic
🏢 The Duluth Clinic, Ltd Facility NPI 1245278209

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Duluth, MN (770 Statewide)

Telehealth Adoption Rate
17.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 20174

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Molly Dwyer , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003468760

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1003565292

Doctor of Medicine (M.D.)

Kelsey O'neil , APRN, CNP

Nurse Practitioner - Family

NPI 1003677303

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Annette Barker

Nurse Practitioner - Family

NPI 1003845595
Bruce Derauf

Radiology - Diagnostic Radiology

NPI 1003847385
Nizar Saleh

Internal Medicine - Cardiovascular Disease

NPI 1003857889

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

📍
Updated Business Mailing Address July 08, 2007

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PER WICKSTROM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #20174 in MN)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Per Wickstrom. Be the first to share your experience!

Sign in to leave a review for Per Wickstrom

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679507826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: July 08, 2007
Deactivation Date: March 07, 2018

Mailing Address

400 E 3rd St

Duluth, MN 558051951

Phone: 2187868364

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.