Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DALE GORDON WICKLUND, MD
Active Sole ProprietorDR. DALE GORDON WICKLUND, MD is a Family Medicine healthcare provider located in TOMAH, Wisconsin. NPI 1457378366 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TOMAH, WI
Registration Details
- NPI Number
- 1457378366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2006 (20.095018738359 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25115 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 E VETERANS STTOMAH, WI, 546603105Browse WI providers · Browse ZIP 54660
- Phone
- 6083723971
- Fax
- 6083721205
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TOMAH, WI
| Name | Credential | NPI |
|---|---|---|
| DR. RACHEL A TESKE | MD | 1114921962 |
| JILL P MCMULLEN | MD | 1740285998 |
| RALPH H KNUDSON | MD | 1205832557 |
| GEORGE C XAKELLIS JR. | M.D. | 1164418885 |
| MICHAEL J SAUNDERS | MD | 1558351056 |
| WILLARD K SCHANHOFER | MD | 1730179862 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.