Individual
PATRICIA G WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 S STATE ROAD 135 STE 200, GREENWOOD, IN 46143-9829
(317) 535-1876
(317) 535-5049
Mailing address
PO BOX 800, FRANKLIN, IN 46131-0800
(317) 736-6133
(317) 736-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01048920
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080172495
RAILROAD MEDICARE
IN
05
—
200286440
—
IN
Enumeration date
12/18/2006
Last updated
09/25/2025
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