IndividualActive
Johanna Wickemeyer, MD
NPI 1902337033 · Otolaryngology Physician · Berlin, VT
Provider details
- NPI number
- 1902337033
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 042.0018725 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
130 Fisher Rd Ste 3-1
Berlin, VT 05602-9000
Phone: (802) 225-7025
Approximate (ZIP-level) locationGet directions
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Additional practice locations (2)
- 800 Howard AveNew Haven, CT 06519-1369Phone: (203) 785-2467
- 111 Colchester AveBurlington, VT 05401-1473Phone: (802) 847-0000
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.