Search › Wisconsin › 171100000X
Clifford Gidlund
NPI 1427515030 · on the registry since 2019 · sole proprietor
Practice
- Address
- 344 Park Ave
Pewaukee, WI 53072 - Phone
- (715) 298-0267
Additional practice sites
- 4275 S 108th St, Greenfield, WI
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-01
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