Individual provider · Type 1 NPI
Susan M. Wicklund, MD
General Practice Physician · Livingston, MT
NPI number
1487624953
Active
Practice location
207 S Main St
Livingston, MT 59047-3016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 7268 (MT) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1487624953
Susan M. Wicklund, MD's National Provider Identifier is 1487624953, issued on Jan 25, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Livingston, MT. The record was last updated on Mar 7, 2023.