Lori M Wisely M D

NPI #1831356062 in Tipton, Indiana

Provider Information

NPI Number
1831356062
Entity Type
Organization
Organization Name
Lori M Wisely M D
Primary Specialty
Family Medicine
Enumeration Date
May 16, 2008
Last Updated
May 16, 2008

Practice Location

Address
1060 S MAIN ST
City
Tipton
State
Indiana
ZIP Code
46072-8327
Phone
(765) 675-2069

Authorized Official

Name
LORI M WISELY, MD
Title
PHYSICIAN
Phone
(765) 675-2069

Specialties & Taxonomy Codes

Specialty
Family Medicine

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