Individual
DR. ELIOT MARTIN WICKLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
PO BOX 18962, BELFAST, ME 04915-4084
(800) 566-5050
(254) 537-6869
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56537
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q3833
TX
208600000X
Surgery Physician
125057068
IL
Other
Enumeration date
08/24/2009
Last updated
01/10/2017
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