DR. BRADLEY WICKLUND, O.D.
Optometrist
Active
Individual
NPI: 1366508293
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 3049-035 (WI) |
Frequently Asked Questions
NPI 1366508293 is the National Provider Identifier for DR. BRADLEY WICKLUND, O.D., a Optometrist provider located in Plymouth, WI. This NPI was enumerated on December 28, 2006.
DR. BRADLEY WICKLUND, O.D. practices at 100 CARR RD, Plymouth, WI 53073.
Quick Facts
- NPI
- 1366508293
- Type
- Individual
- Enumerated
- Dec 28, 2006
- Last Updated
- Jul 15, 2014
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