Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY MELVIN LICKLIDER, M.D.
Active Sole ProprietorDR. GARY MELVIN LICKLIDER, M.D. is a Urology healthcare provider located in MIDDLETON, Wisconsin. NPI 1588998538 is currently active in the NPPES registry. Verify at CMS.
Urology · MIDDLETON, WI
Registration Details
- NPI Number
- 1588998538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2009 (16.915835924492 yrs)
- Last Updated
- Sep 23, 2009
- License
-
18083 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5002 PRAIRIE ROSE CTMIDDLETON, WI, 535622385Browse WI providers · Browse ZIP 53562
- Phone
- 6088369623
- Primary Specialty
-
Urology
208800000X
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.