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NPI Verification

National Provider Identifier: 1588998538

Gary Melvin Licklider, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

5002 PRAIRIE ROSE CT

MIDDLETON, WI 535622385

Phone: 608-836-9623

NPI Enumeration Date

September 23, 2009

NPI Number

1588998538

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Gary Licklider, M.d. - NPI 1588998538 | Provider Verification | HormoneMap