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NIT WICHENKUER MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750337028

Individual Registrant:
 NIT  WICHENKUER MD
Gender: F

Location and contact information for practice:
3530 WEST POMONA BLVD  PONOMA, CA 91769-0100 US
Tel: 909-595-1221  Fax: --

Contact information for business:
1600 9TH STREET ROOM 205 MAILSTOP 2-3 SACRAMENTO, CA 95814-6414 US
Tel: 916-654-2431  Fax: 916-654-3186

Registration Information:
NPI: 1750337028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAC38312
X208D00000XAllopathic & Osteopathic Physicians
General Practice
CAC38312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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