Individual
DR. KYLE WIESCHHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
620 JOHN PAUL JONES DR, BLDG 3, 5TH FLOOR, DEPARTMENT OF ORTHOPAEDIC SURGERY, PORTSMOUTH, VA 23708
(574) 286-4307
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
06/29/2023
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