Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dale Alan Wickstrum, MD

Individual provider Radiation Oncology Physician · NPI 1306890322

Dale Alan Wickstrum, MD is a Radiation Oncology in Tallahassee, Florida. Graduated from University of Florida College of Medicine in 1976, 50 years ago. Practices with Martinsville Physician Practices LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
50
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2003 Centre Pointe Blvd
Tallahassee, FL 32308-4893
Phone: (850) 878-2273
Fax: (850) 671-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence ME0035684 (FL)

Record details

NPI number1306890322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESNovember 23, 2015
Mailing addressPo Box 14446, Tallahassee, FL 32317-4446

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Martinsville Physician Practices Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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