Dr Gary Melvin Licklider, MD - Urology in Middleton, WI

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Dr Gary Melvin Licklider, MD is a Urology physician based in Middleton, Wisconsin. Dr Gary Melvin Licklider is licensed to practice in Wisconsin (license number 18083) and his current practice location is 5002 Prairie Rose Ct, Middleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 836-9623.

NPI number for Dr Gary Melvin Licklider is 1588998538 and his current mailing address is 5002 Prairie Rose Ct, Middleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588998538.

Contact Information

Dr Gary Melvin Licklider, MD
5002 Prairie Rose Ct,
Middleton, WI 53562-2385
(608) 836-9623
Not Available

Map and Direction




Physician's Profile

Full NameDr Gary Melvin Licklider
GenderMale
SpecialityUrology
Location5002 Prairie Rose Ct, Middleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588998538
  • Provider Enumeration Date: 09/23/2009
  • Last Update Date: 09/23/2009

Medical Identifiers

Medical identifiers for Dr Gary Melvin Licklider such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588998538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 18083 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Melvin Licklider is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gary Melvin Licklider, MD
5002 Prairie Rose Ct,
Middleton, WI 53562-2385

Ph: (608) 836-9623		Dr Gary Melvin Licklider, MD
5002 Prairie Rose Ct,
Middleton, WI 53562-2385

Ph: (608) 836-9623

Reviews and Comments


Urology Doctors in Middleton, WI


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