Richard Henry Wikiera D.O.

NPI 1093962896 - Surgery - 208600000X

NPI Details
NPI 1093962896
Gender Male
Enumeration Date 08/22/2008
Last Updated 03/26/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
6812 STATE RTE 162 STE 121
MARYVILLE IL, 62062, US
Phone (618) 288-3616
Fax
Business Location
6812 STATE ROUTE 162 STE 121
MARYVILLE IL, 62062-8586, US
Phone (618) 288-3616
Fax
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number 2008016721
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According to our database, Dr. Richard Henry Wikiera D.O. NPI is 1093962896, taxonomy code is 208600000X and license number is 2008016721, license state is located at Missouri. Richard Henry Wikiera D.O. physically located at 6812 State Rte 162 Ste 121, Maryville IL, 62062. NPI Number Richard Henry Wikiera D.O. has the Individual type.

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1093962896 NPI number is provided on an as is basis without warranty of any kind. 1093962896 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Henry Wikiera D.O. are for informational purposes only.