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1841387636
KEITH A. WICHTERMAN
SPRINGFIELD, IL
NPI
1841387636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 036-058831)
Enumeration Date
2006-10-05
Last Update Date
2014-08-21
Business Address
-- KEITH A. WICHTERMAN M.D.
900 N 1ST STREET
SPRINGFIELD, IL 62702-3749
Phone number: 217-528-7541
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Mailing Address
-- KEITH A. WICHTERMAN M.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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