Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID BRUCE TICK, M.D.
Active Sole ProprietorDR. DAVID BRUCE TICK, M.D. is a Internal Medicine healthcare provider located in THIENSVILLE, Wisconsin. NPI 1972571313 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · THIENSVILLE, WI
Registration Details
- NPI Number
- 1972571313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2006 (20.440293490952 yrs)
- Last Updated
- May 17, 2018
- Licenses
-
34022 (VA)34022 (WI)34022 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
216 GREEN BAY RD STE 109THIENSVILLE, WI, 53092Browse WI providers · Browse ZIP 53092
- Phone
- 2622415414
- Fax
- 2622415425
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Geriatric Psychiatry
- Additional Specialty
- Internal Medicine
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.