Most Relevant Information
Provider Data
| NPI Number: | 1003460734 |
| Provider Name: | MORGAN ELIZABETH WICHMAN OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 095855 |
Most Important Dates
| Enumeration Date: | 07/31/2019 |
| Last Updated: | 09/15/2023 |
Provider Practice Location
1805 SE DELAWARE AVE STE 900
ANKENY
IA
500213935
Practice Location Phone/Fax
| Phone: | 5153335845 |
| Fax: |
Provider Mailing Location
200 10TH ST
UNIT 508
DES MOINES
IA
50309
Provider Mailing Phone/Fax
| Phone: | 8152389272 |
| Fax: |