Individual
CHARLES D WICHSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1403 S GRAND BLVD STE 101S, SPOKANE, WA 99203-2272
(509) 838-2225
(509) 755-2225
Mailing address
1403 S GRAND BLVD STE 101S, SPOKANE, WA 99203-2272
(509) 838-2225
(509) 755-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022360
WA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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