| NPI | 1932336864 |
|---|---|
| Former Name | ALLISON KAY WICHMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11606) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 11606) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2020-11-10 |