Wicklund, Dale Gordon
Wicklund, Dale Gordon is an sole proprietor health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wicklund, Dale Gordon can be contacted via phone (608) 372-3971.Contact Information
Primary practice address
500 E Veterans St
Tomah WI 54660-3105
Phone: (608) 372-3971
Fax: (608) 372-1205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25115 | Wisconsin |
Profile Details
| NPI number | 1457378366 |
|---|---|
| LBN Legal business name | Wicklund, Dale Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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