Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Heather Jo Wichman, MD

Individual provider Diagnostic Radiology Physician · NPI 1043471972

Dr. Heather Jo Wichman, MD is an Interventional Radiology in LA Crosse, Wisconsin. Graduated from Medical College of Wisconsin in 2006, 20 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group and accepts Medicare assignment. Licensed in Iowa, Minnesota and Wisconsin.

Years since qualifying
20
Trained at
Medical College of Wisconsin
Licensed in
IA, MN, WI
In the registry since
2008
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 S Ave
LA Crosse, WI 54601-5467
Phone: (608) 775-6569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 5751820 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 5751820 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD40484 (IA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence PY58702 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence PY58702 (MN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD40484 (IA)

Record details

NPI number1043471972
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESJanuary 26, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2006 (20 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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