Provider Demographics
NPI:1821100488
Name:HUNTE, WISHBURNE I (MD)
Entity Type:Individual
Prefix:
First Name:WISHBURNE
Middle Name:I
Last Name:HUNTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10445
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-3445
Mailing Address - Country:US
Mailing Address - Phone:340-774-1909
Mailing Address - Fax:340-777-9539
Practice Address - Street 1:9150 ESTATE THOMAS
Practice Address - Street 2:SUITE 208
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-1909
Practice Address - Fax:340-777-9539
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI679207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E85614Medicare UPIN