DR. GARY MELVIN LICKLIDER M.D.
NPI 1588998538
Urology in Middleton, WI

Q: What is Gary Licklider's NPI number?

The NPI number for Gary Licklider is 1588998538. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Q: What is Gary Licklider's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Licklider was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2009

5002 PRAIRIE ROSE CT, MIDDLETON, WI 53562(608) 836-9623 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Gary Melvin Licklider M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY MELVIN LICKLIDER M.D. (NPI 1588998538) is an individual urology provider in Middleton, Wisconsin, licensed in Wisconsin (18083) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1588998538

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. GARY MELVIN LICKLIDERCredential: M.D.

Location Address5002 PRAIRIE ROSE CTMiddleton, WI 53562-2385

Mailing Address5002 Prairie Rose CtMiddleton, WI 53562-2385 · (608) 836-9623

Phone(608) 836-9623

Sole ProprietorYes

Enumeration DateSeptember 23, 2009

✔ NPI 1588998538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WI · 18083

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5002 PRAIRIE ROSE CT, Middleton, WI 53562

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Licklider's NPI number?

The NPI number for Gary Licklider is 1588998538. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Gary Licklider located?

Gary Licklider practices at 5002 Prairie Rose Ct, Middleton, WI 53562. The listed phone number is (608) 836-9623.

What is Gary Licklider's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Gary Licklider was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.