Individual
BROOKE E WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 DELAWARE ST, LAWRENCE, KS 66046-3149
(785) 865-5520
(785) 865-5695
Mailing address
PO BOX 14395, LENEXA, KS 66285-4395
(913) 341-9316
(785) 865-5695
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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