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Individual
DR. JOHANNA LEE WICKEMEYER
Active
Individual
DR. JOHANNA LEE WICKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
042.0018725
VT
207Y00000X
Otolaryngology Physician
74545
CT
207YS0012X
Sleep Medicine (Otolaryngology) Physician
042.0018725
VT
207YS0012X
Sleep Medicine (Otolaryngology) Physician
74545
CT
Other
Enumeration date
03/21/2017
Last updated
09/04/2025
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