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Dr. Michael Douglas Rickels, O.D.

Optometrist in Madison, WI. Individual provider (NPI-1).

NPI number1124332283
StatusActive
Last updated in NPPESOct 19, 2023

Details

NPI
1124332283
Entity type
Individual (NPI-1)
Name
Dr. Michael Douglas Rickels
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2010
Certification date
Oct 19, 2023
Last updated
Oct 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3368-035WIYes

Practice location

2880 University Ave
Madison, WI 53705-3644

Phone 608-263-7171

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

305 Elaines Ct
Dodgeville, WI 53533-2103

Phone 608-930-4362 · Fax 608-930-4366

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