# MOUNTAIN COUNTRY WOMEN'S CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902045420
- **Authorized official:** DR. SUSAN MARIE WICKLUND MD (PRESIDENT)
- **Authorized official phone:** (406) 222-7555

## Contact information

- **Practice address:** 207 S MAIN ST, LIVINGSTON, MT 59047-3016
- **Practice address phone:** (406) 222-7555
- **Mailing address:** PO BOX 1780, LIVINGSTON, MT 59047-4702
- **Mailing address phone:** (406) 222-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 7268 | MT | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 02/05/2009