Individual
SUSAN M WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
207 S MAIN ST, LIVINGSTON, MT 59047-3016
(406) 222-7555
Mailing address
207 S MAIN ST, LIVINGSTON, MT 59047-3016
(406) 222-7555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7268
MT
Other
Enumeration date
01/25/2006
Last updated
03/07/2023
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