Individual
ANDREA E WISMANN
Active
Individual
ANDREA E WISMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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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