Mackenzie Wickman
NPI #1104297571 in Lakewood, Wisconsin
Provider Information
- NPI Number
- 1104297571
- Entity Type
- Individual
- Name
- Mackenzie Wickman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Oct 12, 2015
- Last Updated
- Oct 31, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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