OrganizationActive
Stephen A. Hickner, M.D., LLC
NPI 1003115577 · Obstetrics & Gynecology Physician · Lander, WY
Provider details
- NPI number
- 1003115577
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Hickner, Registered Agent(616) 633-8628
- License
- TL1524 (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8160 Highway 789
Lander, WY 82520-2953
Phone: (616) 633-8628
Approximate (ZIP-level) locationGet directions
Mailing address
8160 Highway 789
Lander, WY 82520-2953
Registry dates
- Enumerated
- 2011-03-22
- Last updated
- 2011-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.