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Individual

DR. GERRY-LYNN WICHMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 S PRESTON ST, LOUISVILLE, KY 40202-1702
(502) 999-9999
Mailing address
PO BOX 6548, LOUISVILLE, KY 40206-0548

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48276
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2011
Last updated
08/06/2019
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