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1902337033
JOHANNA LEE WICKEMEYER
NEW HAVEN, CT
NPI
1902337033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CT 74545)
Additional Taxonomies
207YS0012X
(Licence: CT 74545)
Enumeration Date
2017-03-21
Last Update Date
2024-10-12
Business Address
Dr. JOHANNA LEE WICKEMEYER MD
800 HOWARD AVE
NEW HAVEN, CT 06519-1369
Phone number: 203-785-2467
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Mailing Address
Dr. JOHANNA LEE WICKEMEYER MD
22 ELDERSLIE LN
WOODBRIDGE, CT 06525-1038
Phone number: 508-728-0717
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