Individual
WYATT ANTHONY CHICOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
W168N11237 WESTERN AVE, GERMANTOWN, WI 53022-3239
(262) 253-5060
(262) 532-3467
Mailing address
W168N11237 WESTERN AVE, GERMANTOWN, WI 53022-3239
(262) 253-5060
(262) 532-3467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8158721
WI
Other
Enumeration date
04/10/2022
Last updated
10/17/2025
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