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Bradley Wicklund, O.D
NPI 1366508293 · on the registry since 2006
Practice
- Address
- 100 Carr Rd
Plymouth, WI 53073 - Phone
- (920) 893-3937
- Fax
- (920) 892-8886
- Organisation at this address
- 20-20 Visions Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin