GARY MELVIN LICKLIDER

MIDDLETON, WI
NPI1588998538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: WI  18083)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
Dr. GARY MELVIN LICKLIDER M.D.
5002 PRAIRIE ROSE CT
MIDDLETON, WI 53562-2385
Phone number: 608-836-9623
Mailing Address
Dr. GARY MELVIN LICKLIDER M.D.
5002 PRAIRIE ROSE CT
MIDDLETON, WI 53562-2385
Phone number: 608-836-9623