Dr. Kyle Wieschhaus, MD
Student in an Organized Health Care Education/Training Program in Portsmouth, VA. Individual provider (NPI-1).
NPI number1902425275
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1902425275
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kyle Wieschhaus
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2020
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone 757-953-5000
Mailing address
620 John Paul Jones DrBldg 3, 5th Floor, Department Of Orthopaedic Surgery
Portsmouth, VA 23708
Phone 574-286-4307
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