Search › Wisconsin › 208800000X
Gary Licklider, M.D
NPI 1588998538 · on the registry since 2009 · sole proprietor
Practice
- Address
- 5002 Prairie Rose Ct
Middleton, WI 53562 - Phone
- (608) 836-9623
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-23
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