Individual
BENJAMIN L WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 323-8282
Mailing address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 323-8282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010250845
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101250845
VA
Other
Enumeration date
04/30/2009
Last updated
02/04/2019
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