License holder summary

K. Ted Theodore Wickstrom MD is a Medical Doctor licensed to practice in Arizona. The address on file for K. Ted Theodore Wickstrom MD is Medwise, Pc, 790 Gail Gardner Way, Prescott AZ 86305. This licensed professional license is current. The license was granted 08/27/1993.

Arizona

Board of Licensing

K. Ted Theodore Wickstrom MD
Medical Doctor
License number
21726
Date granted
08/27/1993
Class
Medical Doctor
Status
Active
Address
Medwise, Pc, 790 Gail Gardner Way, Prescott AZ 86305
arizonalicensing.com
ID 22528001
LAST UPDATED 2026-05-26 22:31:32 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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