Matthew Paul Wichman M.D.

NPI 1609023548 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1609023548
Gender Male
Enumeration Date 08/21/2008
Last Updated 10/09/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
975 PORT WASHINGTON RD
SUITE 110
GRAFTON WI, 53024-9201, US
Phone (262) 387-8300
Fax
Business Location
3003 W GOOD HOPE RD
MILWAUKEE WI, 53209-2042, US
Phone (414) 352-3100
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Wisconsin
License Number 56954
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According to our database, Matthew Paul Wichman M.D. NPI is 1609023548, taxonomy code is 207X00000X and license number is 56954, license state is located at Wisconsin. Matthew Paul Wichman M.D. physically located at 975 Port Washington Rd, Grafton WI, 53024-9201. NPI Number Matthew Paul Wichman M.D. has the Individual type.

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1609023548 NPI number is provided on an as is basis without warranty of any kind. 1609023548 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Paul Wichman M.D. are for informational purposes only.