OrganizationActive
Mountain Country Women'S Clinic
NPI 1902045420 · General Practice Physician · Livingston, MT
Provider details
- NPI number
- 1902045420
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Wicklund, President(406) 222-7555
- License
- 7268 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
207 S Main St
Livingston, MT 59047-3016
Phone: (406) 222-7555
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1780
Livingston, MT 59047-4702
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2009-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.