Individual
DR. WILLIAM SAMUEL WISEMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 RESERVE PL, MOUNT JULIET, TN 37122-6393
(615) 423-5437
Mailing address
PO BOX 244, GOODLETTSVILLE, TN 37070-0244
(615) 423-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34694
TN
208D00000X
General Practice Physician
Primary
34694
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898547
—
TN
Enumeration date
01/02/2007
Last updated
01/15/2023
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