Individual
BARBARA L WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQUARE, SAYRE, PA 18840-1625
(570) 887-3982
(607) 625-5879
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2904
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
190935
NY
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD034399E
PA
207VG0400X
Gynecology Physician
190935
NY
207VG0400X
Gynecology Physician
MD034399E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241143
—
NY
Enumeration date
04/26/2006
Last updated
03/11/2021
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