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Individual

INGRID WOHLGEMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6129
(585) 396-6603
Mailing address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6129
(585) 396-6603

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
219323
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
219323
NY
208M00000X
Hospitalist Physician
Primary
219323-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02241550
NY
Enumeration date
06/08/2006
Last updated
06/29/2023
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