NPI 1376602060 DR. JESSE M WICKHAM D.O. KEESLER AFB MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Jesse M Wickham - NPI: 1376602060

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JESSE M WICKHAM
NPI Number: 1376602060
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number: 02003331A
Business Practice Address: 301 Fisher St
Keesler Medical Center, 81mdos/sgomk, Nephrology Keesler Afb, MS - 395342508
Business Phone Number: 2283765537
Business Fax Number:
Mailing Address: 301 Fisher St, Keesler Medical Center, 81mdos/sgomk, Nephrology
KEESLER AFB
State: MS
Postal Code: 395342508
Phone Number: 2283765537
Fax Number:
NPI Enumeration Date: 12/08/2006
NPI Last Update Date: 07/30/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207RN0300X
License Number: 02003331A
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IN
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Internal Medicine
Taxonomy Specialization: Nephrology
Taxonomy Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


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