Search › Wisconsin › 225100000X
Jordan Wickman, PT
NPI 1578116869 · on the registry since 2019
Practice
- Address
- 1185 Corporate Center Dr Ste 250
Oconomowoc, WI 53066 - Phone
- (262) 928-8853
- Organisation at this address
- Prohealth Care
James M. Powell Dc,Sc
Prohealth Medical Group Inc
Medical Eye Associates, S.C.
Lake Country Endoscopy Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Additional practice sites
- 2195 N Summit Village Way, Oconomowoc, WI
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-17
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