Organization
MANCHESTER PODIATRY CENTER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L. WICHMAN DPM (PODIATRIST)
(860) 649-3338
Entity
Organization
Contact information
Practice address
117 E CENTER ST, MANCHESTER, CT 06040-5246
(860) 649-3338
Mailing address
117 E CENTER ST, MANCHESTER, CT 06040-5246
(860) 649-3338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
04/15/2011
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