Individual
DR. KENNETH LEE WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
117 E CENTER ST, MANCHESTER, CT 06040-5203
(860) 649-3338
(860) 646-4938
Mailing address
117 E CENTER ST, MANCHESTER, CT 06040-5203
(860) 649-3338
(860) 646-4938
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0224
CT
Other
Enumeration date
02/27/2006
Last updated
12/28/2007
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