Douglas Wiseman, MD

NPI #1003137803 in Chicago, Illinois

Provider Information

NPI Number: 1003137803
Entity Type: Individual
Name: Douglas Wiseman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 15, 2010
Last Updated: Oct 28, 2019

Practice Location

Address: 7447 W TALCOTT AVE STE 427
City: Chicago
State: Illinois
ZIP Code: 60631-3715
Phone: (773) 990-4024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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