Scott E Wichman, DO

NPI #1194922393 in Chilton, Wisconsin

Provider Information

NPI Number: 1194922393
Entity Type: Individual
Name: Scott E Wichman, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 29, 2007
Last Updated: Feb 24, 2015

Practice Location

Address: 614 MEMORIAL DR
City: Chilton
State: Wisconsin
ZIP Code: 53014-1568
Phone: (920) 849-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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