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Individual

ANDREA E WISMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6951 SE 15TH ST, MIDWEST CITY, OK 73110-2748
(405) 233-0450
(405) 984-4407
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR0051260
CO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
39061
OK

Other

Enumeration date
04/07/2009
Last updated
01/07/2026
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