Dr Dale Gordon Wicklund, MD - Family Medicine in Tomah, WI

Dr Dale Gordon Wicklund, MD is a Family Medicine physician based in Tomah, Wisconsin. Dr Dale Gordon Wicklund is licensed to practice in Wisconsin (license number 25115) and his current practice location is 500 E Veterans St, Tomah, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 372-3971.

NPI number for Dr Dale Gordon Wicklund is 1457378366 and his current mailing address is 15515 Helix Rd, Tomah, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457378366.

Contact Information

Dr Dale Gordon Wicklund, MD
500 E Veterans St,
Tomah, WI 54660-3105
(608) 372-3971
(608) 372-1205



Physician's Profile

Full NameDr Dale Gordon Wicklund
GenderMale
SpecialityFamily Medicine
Location500 E Veterans St, Tomah, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457378366
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Dale Gordon Wicklund such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457378366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25115 (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 Dale Gordon Wicklund 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 Dale Gordon Wicklund, MD
15515 Helix Rd,
Tomah, WI 54660-6742

Ph: (608) 372-7173
Dr Dale Gordon Wicklund, MD
500 E Veterans St,
Tomah, WI 54660-3105

Ph: (608) 372-3971

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Family Medicine Doctors in Tomah, WI

Dr. Kyle Christian Thomas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Butts Ave, Tomah, WI 54660
Phone: 608-372-5951    
Sharel A Martin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 Butts Ave, Tomah, WI 54660
Phone: 608-372-5951    Fax: 608-372-3436
Dr. Rachel A Teske, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-3971    Fax: 608-372-1249
Karyn Cecele, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 Butts Ave, Tomah, WI 54660
Phone: 608-372-5999    
George C Xakellis Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 East Veteran Street, Tomah, WI 54660
Phone: 608-372-1792    
April Ann Lassa, APNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Veterans St, Tomah, WI 54660
Phone: 608-372-1239    
Ralph H Knudson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1330 N Superior Ave, Tomah, WI 54660
Phone: 608-372-4111    

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