Individual
MARY ELIZABETH HICKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 TRIVERTON PIKE DR STE 107, FITCHBURG, WI 53711-7516
(307) 714-2316
Mailing address
2960 TRIVERTON PIKE DR STE 107, FITCHBURG, WI 53711-7516
(307) 714-2316
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
135.000965
IL
Other
Enumeration date
06/23/2017
Last updated
01/03/2025
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