Mary Ann Wichmann
Specialist/Technologist, Athletic Trainer in Rochert, MN. Individual provider (NPI-1).
NPI number1164069431
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1164069431
- Entity type
- Individual (NPI-1)
- Name
- Mary Ann Wichmann
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
20338 County Highway 29Rochert, MN 56578-9608
Phone 218-849-1091
Mailing address
20338 County Highway 29Rochert, MN 56578-9608
Phone 218-849-1091
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