Courtney Wiseman, PA

NPI #1144769332 in Jamestown, California

Provider Information

NPI Number: 1144769332
Entity Type: Individual
Name: Courtney Wiseman, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 21, 2017
Last Updated: Dec 12, 2023

Practice Location

Address: 18144 SECO ST
City: Jamestown
State: California
ZIP Code: 95327-9498
Phone: (209) 984-4820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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