Individual
DR. JOHN A WISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1800 116TH AVE NE STE 101, BELLEVUE, WA 98004-3043
(425) 637-0094
(425) 453-8298
Mailing address
1800 116TH AVE NE STE 101, BELLEVUE, WA 98004-3043
(425) 637-0094
(425) 453-8298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
601 847 969
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB34532
PIN NUMBER
WA
Enumeration date
05/31/2006
Last updated
04/06/2021
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