Keith A. Wichterman, M.D.

NPI #1841387636 in Springfield, Illinois

Provider Information

NPI Number: 1841387636
Entity Type: Individual
Name: Keith A. Wichterman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Oct 5, 2006
Last Updated: Aug 21, 2014

Practice Location

Address: 900 N 1ST STREET
City: Springfield
State: Illinois
ZIP Code: 62702-3749
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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