| Doctor Name: | DR. JAMES A WICHSER |
| NPI Number: | 1558344481 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G87589 |
| Business Practice Address: | 1535 Slate Creek Rd Grundy, VA - 246146974 |
| Business Phone Number: | 8589457377 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1041, GRUNDY |
| State: | VA |
| Postal Code: | 246141041 |
| Phone Number: | 8589457377 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G87589 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |