MICHAEL MATTHEW WIXOM

APO, AP
NPI1942536024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-10-26
Last Update Date2011-05-05
Business Address
Mr. MICHAEL MATTHEW WIXOM IDMT
PSC 80 BOX 20878
APO, AP 96367-0093
Phone number: 319-208-7818
Mailing Address
Mr. MICHAEL MATTHEW WIXOM IDMT
PSC 80 BOX 20878
APO, AP 96367-0093
Phone number: 319-208-7818
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