Whalio Doctors

NPI 1104926468

Bryan Stuart Wichman, MD

Practitioner Anesthesiology Physician Sheboygan, WI

Practice location

Address
3100 Superior Ave, Sheboygan, WI 53081-1948
Phone
(920) 783-1261
Mailing address
225 S Executive Dr, Brookfield, WI 53005-4257

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 48789-020 (WI)

Registry record

NPI
1104926468
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Sep 2006
Record last updated
18 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.