Individual provider · Type 1 NPI

Till Ping Wichelhaus, MD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1285033167 Active

Practice location

Stony Brook Uni Hospital Dept Of Family Med, Level 4, Room 050, Hsc
Stony Brook, NY 11794-8461

Call (631) 444-8430 Map

Fax (631) 444-7552

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1285033167

Till Ping Wichelhaus, MD's National Provider Identifier is 1285033167, issued on Aug 17, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Dec 17, 2021.