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Individual

DR. HARLAN P WICHELHAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1718 NORTH AMBURN RD., SUITE B, TEXAS CITY, TX 77591-2490
(409) 935-1988
(409) 933-4898
Mailing address
1718 NORTH AMBURN RD., SUITE B, TEXAS CITY, TX 77591-2490
(409) 935-1988
(409) 933-4898

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0727
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
096391004
TX
Enumeration date
10/25/2007
Last updated
09/25/2012
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