NPI 1003115577

Stephen A. Hickner, M.D., LLC

Organisation Obstetrics & Gynecology Physician Lander, WY

Practice location

Address: 8160 Highway 789, Lander, WY 82520-2953
Phone: (616) 633-8628

Authorised official

Name: Stephen Andrew Hickner
Title: Registered Agent
Phone: (616) 633-8628

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence TL1524 (WY)

Other Obstetrics & Gynecology providers in Wyoming →

Registry record

NPI: 1003115577
Entity type: Organization
NPI issued: 22 Mar 2011
Record last updated: 29 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.