IndividualActive
Donald Gullickson, M.D.
NPI 1497840110 · Internal Medicine Physician · Lander, WY
Provider details
- NPI number
- 1497840110
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2072A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
745 Buena Vista Dr
Lander, WY 82520-3431
Phone: (307) 332-2941
Fax: (307) 332-2068
Street-level locationGet directions
Mailing address
830 Lincoln St
Lander, WY 82520-2736
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.