Search › Illinois › 1223G0001X
Alan Wickenhauser, D.M.D
NPI 1740468750 · on the registry since 2008 · sole proprietor
Practice
- Address
- 708 E Bethalto Blvd
Bethalto, IL 62010 - Phone
- (618) 377-0044
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-09
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 Illinois