DR. Dale Gordon Wicklund, MD

NPI #1457378366 in Tomah, Wisconsin

Provider Information

NPI Number: 1457378366
Entity Type: Individual
Name: DR. Dale Gordon Wicklund, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 500 E VETERANS ST
City: Tomah
State: Wisconsin
ZIP Code: 54660-3105
Phone: (608) 372-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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