Mary Wiseman

NPI #1174992952 in Alton, Illinois

Provider Information

NPI Number
1174992952
Entity Type
Individual
Name
Mary Wiseman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Sep 22, 2015
Last Updated
Sep 22, 2015

Practice Location

Address
12 LAKERIDGE TRL
City
Alton
ZIP Code
62002-8864
Phone
(618) 593-2439

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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