Individual
DR. MICHAEL DOUGLAS RICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-7171
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3368-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124332283
—
WI
Enumeration date
08/01/2010
Last updated
10/19/2023
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