Manchester Podiatry Center,pc
NPI #1023294808 in Manchester, Connecticut
Provider Information
- NPI Number
- 1023294808
- Entity Type
- Organization
- Organization Name
- Manchester Podiatry Center,pc
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Apr 15, 2011
Practice Location
- Address
- 117 E CENTER ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-5246
- Phone
- (860) 649-3338
Authorized Official
- Name
- DR. KENNETH L. WICHMAN, DPM
- Title
- PODIATRIST
- Phone
- (860) 649-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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