Organization
MONICA H. WICHNER, DO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA HEIDI WICHNER DO (OWNER)
(775) 220-3356
Entity
Organization
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8015
Mailing address
PO BOX 3826, CARSON CITY, NV 89702-3826
(775) 220-3356
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
937
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013066
—
NV
Enumeration date
03/19/2008
Last updated
05/05/2008
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