Individual provider · Type 1 NPI

Johanna Lee Wickemeyer, MD

Otolaryngology Physician · Berlin, VT

NPI number 1902337033 Active

Practice location

130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473

Other practice locations

  • 111 Colchester Ave, Burlington, VT 05401-1473 · (802) 847-0000
  • 800 Howard Ave, New Haven, CT 06519-1369 · (203) 785-2467

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X042.0018725 (VT)
Sleep Medicine (Otolaryngology) Physician 207YS0012X74545 (CT)
Otolaryngology Physician 207Y00000X74545 (CT)
Sleep Medicine (Otolaryngology) Physician 207YS0012X042.0018725 (VT)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

7 other providers at this address

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About NPI 1902337033

Johanna Lee Wickemeyer, MD's National Provider Identifier is 1902337033, issued on Mar 21, 2017. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Berlin, VT. The record was last updated on Sep 4, 2025.