Individual
MARK WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1247 S. CEDAR CREST BLVD, ALLENTOWN, PA 18103
(610) 482-2570
Mailing address
1120 TEXAS ST APT 8D, HOUSTON, TX 77002-3136
(607) 742-2257
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MT206443
PA
207P00000X
Emergency Medicine Physician
Primary
S2540
TX
208600000X
Surgery Physician
MT206443
PA
Other
Enumeration date
05/16/2014
Last updated
09/11/2023
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