Organization
FITCHBURG PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH HICKNER DPM (PODIATRIST)
(307) 714-2316
Entity
Organization
Contact information
Practice address
2960 TRIVERTON PIKE DR STE 107, FITCHBURG, WI 53711-7516
(307) 714-2316
Mailing address
2960 TRIVERTON PIKE DR STE 107, FITCHBURG, WI 53711-7516
(307) 714-2316
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
12/30/2024
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