LEVI DEAN WICHTERMAN

BRIDGEPORT, WV
NPI1992229496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: WV  80172)
Enumeration Date2017-07-27
Last Update Date2021-04-14
Business Address
LEVI DEAN WICHTERMAN NP-C
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
Mailing Address
LEVI DEAN WICHTERMAN NP-C
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
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