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Individual
DR. SAMANTHA KATHERINE WISEMAN
Active
Individual
DR. SAMANTHA KATHERINE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OP61184388
WA
207Q00000X
Family Medicine Physician
Primary
OP61184388
WA
Other
Enumeration date
04/12/2016
Last updated
02/01/2024
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