Individual
MARCUS WILLIAM BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 775-3349
(608) 775-1548
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
63812
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285070722
—
WI
Enumeration date
05/10/2013
Last updated
06/27/2019
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