Nicole A. Wizeman, PA-C
NPI #1134511595 in Manchester, Connecticut
Provider Information
- NPI Number
- 1134511595
- Entity Type
- Individual
- Name
- Nicole A. Wizeman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Feb 23, 2015
- Last Updated
- Jan 30, 2017
Practice Location
- Address
- 71 HAYNES ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-4131
- Phone
- (860) 533-6595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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