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Individual

DR. TODD ANTHONY WICHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14355 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6837
(804) 480-3087
Mailing address
14355 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6837
(804) 480-3087

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101253471
VA
208100000X
Physical Medicine & Rehabilitation Physician
44532
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437265717
VA
Enumeration date
08/21/2006
Last updated
01/31/2023
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