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Contact Information

CORINNE B WICKLUND, OD
100 CARR RD
PLYMOUTH, WI53073-9500
 Phone: 920-892-3937
 Fax: 920-892-6668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for CORINNE B WICKLUND · (Female)

NPI Number 1649290941
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/20/2006
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 3046-035
  • WI Other 3046-035 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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