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Active NPI 1588998538 Individual Practitioner Male Practitioner

Dr. Gary Melvin Licklider , MD

Urology • Middleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Gary Licklider, MD is a registered healthcare professional specializing in Urology in Middleton, WI. Practice services are available at 5002 PRAIRIE ROSE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5002 Prairie Rose Ct

Middleton, WI 535622385

Telephone 6088369623

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Middleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Middleton, WI (278 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 18083

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2009

Registered at 5002 PRAIRIE ROSE CT, MIDDLETON, WI 535622385 (Tel: 6088369623)

📍
Updated Business Mailing Address September 23, 2009

Registered at 5002 PRAIRIE ROSE CT, MIDDLETON, WI 535622385 (Tel: 6088369623)

👤
Provider Name / Credentials Updated September 23, 2009

Recorded as GARY LICKLIDER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2009

Urology (License #18083 in WI)

🟢
Initial NPI Registration & Enumeration September 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588998538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2009
Last Update: September 23, 2009
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

5002 Prairie Rose Ct

Middleton, WI 535622385

Phone: 6088369623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.