Individual
WILLIAM EDMOND WICHETA III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
933 RED APPLE ROAD, SUITE 100, WENATCHEE, WA 98801-3370
(509) 662-7143
(509) 665-4301
Mailing address
PO BOX 3027, WENATCHEE, WA 98807-3027
(509) 662-7143
(509) 665-4301
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00025308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8106676
—
WA
Enumeration date
11/09/2005
Last updated
07/08/2007
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