Kelley Wichman, CSFA

NPI #1407390511 in Woodbury, Minnesota

Provider Information

NPI Number
1407390511
Entity Type
Individual
Name
Kelley Wichman, CSFA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CSFA
Enumeration Date
Dec 8, 2016
Last Updated
Dec 8, 2016

Practice Location

Address
710 COMMERCE DR
ZIP Code
55125-4919
Phone
(320) 223-9893

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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