Mountain Country Women's Clinic
NPI #1902045420 in Livingston, Montana
Provider Information
- NPI Number
- 1902045420
- Entity Type
- Organization
- Organization Name
- Mountain Country Women's Clinic
- Primary Specialty
- General Practice
- Enumeration Date
- Feb 5, 2009
- Last Updated
- Feb 5, 2009
Practice Location
- Address
- 207 S MAIN ST
- City
- Livingston
- State
- Montana
- ZIP Code
- 59047-3016
- Phone
- (406) 222-7555
Authorized Official
- Name
- DR. SUSAN MARIE WICKLUND, MD
- Title
- PRESIDENT
- Phone
- (406) 222-7555
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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