DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. DONALD ALBERT GULLICKSON M.D.

MEDICARE: DR. DONALD ALBERT GULLICKSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2072AWY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110055880OTHERMEDICARE RAILROAD RETIREM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1301810OTHERWYBLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497840110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD ALBERT GULLICKSON M.D.
Provider Business Mailing Address
First Line : 830 LINCOLN ST
Second Line :
City : LANDER
State : WY
Zip : 82520-2736
Country : US
Telephone Number : 307-332-4420
Fax Number :
Provider Business Practice Location Address
First Line : 745 BUENA VISTA DR
Second Line :
City : LANDER
State : WY
Zip : 82520-3431
Country : US
Telephone Number : 307-332-2941
Fax Number : 307-332-2068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 01/31/2020

Similar Medicare Providers

1952303216 — JAN K. SIEBERSMA M.D.
Practice Location Address:
745 BUENA VISTA DR
LANDER, WY
82520-3431
Practice Phone: 307-332-2941
Practice Fax: 307-332-1920
1134117039 — BRIAN DALE GEE MD
Practice Location Address:
745 BUENA VISTA DR
LANDER, WY
82520-3431
Practice Phone: 307-332-2941
Practice Fax: 307-332-1920
1326004391 — SHALINI FORBIS MD
Practice Location Address:
745 BUENA VISTA DR
LANDER, WY
82520-3431
Practice Phone: 307-332-1920
Practice Fax: 307-332-1920
1942301254 — ROBERT L DARR PA-C
Practice Location Address:
745 BUENA VISTA DR
LANDER, WY
82520-3431
Practice Phone: 307-332-2941
Practice Fax: 307-332-1920
1093801664 — MRS. CAROL LEE QUILLEN P.A.-C.
Practice Location Address:
745 BUENA VISTA DR
LANDER, WY
82520-3431
Practice Phone: 307-332-2941
Practice Fax: 307-332-2068
1912093667 — DR. GENTIAN ANN SCHEER M.D.
Practice Location Address:
745 BUENA VISTA DR
LANDER, WY
82520-3431
Practice Phone: 307-332-2941
Practice Fax: 307-332-2068

Directions to “ DR. DONALD ALBERT GULLICKSON M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.