Individual
TERENCE R. LICHTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 WESTHILL DR, STE 200, WAUSAU, WI 54401-3771
(715) 843-1000
(715) 843-1001
Mailing address
2800 WESTHILL DR, STE 200, WAUSAU, WI 54401-3771
(715) 843-1000
(715) 843-1001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036-065063
IL
207T00000X
Neurological Surgery Physician
103790
MT
207T00000X
Neurological Surgery Physician
Primary
8147
SD
Other
Enumeration date
05/08/2006
Last updated
12/06/2021
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