Individual
MR. STEPHEN GARY FLIKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2501 HANLEY RD STE 102, HUDSON, WI 54016-8705
(715) 386-4075
(715) 386-4069
Mailing address
2501 HANLEY RD STE 102, HUDSON, WI 54016-8705
(715) 386-4075
(715) 386-4069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4440
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700031044
CLINIC NPI
WI
05
—
1922185180
—
WI
01
—
254K950
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/01/2006
Last updated
11/13/2023
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