Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHANNA LEE WICKEMEYER, MD
ActiveOtolaryngology · BERLIN, VT
Registration Details
- NPI Number
- 1902337033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2017 (9.0888843742507 yrs)
- Last Updated
- Sep 4, 2025
- Licenses
-
042.0018725 (VT)74545 (CT)74545 (CT)042.0018725 (VT)
Practice Information
- Address
-
130 FISHER RD STE 3-1BERLIN, VT, 056029000Browse VT providers · Browse ZIP 05602
- Phone
- 8022257025
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- 207YS0012X
- Additional Specialty
- Otolaryngology
- Additional Specialty
- 207YS0012X
Other Otolaryngology Providers in BERLIN, VT
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES GARY ROSE | M.D. | 1497778112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.