Individual
ILSA BICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1099 HIGHLAND DR, KOHLER, WI 53044-1306
(920) 254-3572
Mailing address
1099 HIGHLAND DR, KOHLER, WI 53044-1306
(920) 254-3572
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
43358-20
WI
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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