Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Melvin Licklider, MD

Individual provider Urology Physician · NPI 1588998538

Dr. Gary Melvin Licklider, MD is an Urology Physician in Middleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5002 Prairie Rose Ct
Middleton, WI 53562-2385
Phone: (608) 836-9623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 18083 (WI)

Record details

NPI number1588998538
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 23, 2009
Last updated in NPPESSeptember 23, 2009