Individual
DAVID SUMMERS WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4076 NEELY RD, FT WAINWRIGHT, AK 99703
(907) 361-5172
Mailing address
4076 NEELY RD, FT WAINWRIGHT, AK 99703
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1852
NE
207L00000X
Anesthesiology Physician
Primary
241993
AK
208D00000X
General Practice Physician
1852
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760652
—
AK
Enumeration date
01/25/2017
Last updated
03/13/2026
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