person
Thomas Grant Wichman, MD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1255181665

Thomas Grant Wichman is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Thomas Grant Wichman practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Thomas Grant Wichman is 1255181665 and holds a License No. (Mississippi).

The current practice location address for Thomas Grant Wichman is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000.

Location: 2500 N State St, Jackson, MS, 39202-1256
person
Provider Profile Details
NPI Number
1255181665
Provider Name
Thomas Grant Wichman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39202-1256
Phone Number
601-984-1000
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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