Benjamin Joseph Lickteig

NPI #1417532540 in Hudson, Wisconsin

Provider Information

NPI Number: 1417532540
Entity Type: Individual
Name: Benjamin Joseph Lickteig
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Mar 10, 2021
Last Updated: Aug 8, 2024

Practice Location

Address: 2910 ENLOE ST STE 101
City: Hudson
State: Wisconsin
ZIP Code: 54016-4539
Phone: (952) 207-2186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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