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Organization

WISEMAN FAMILY PRACTICE CO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY D WISEMAN MD (MANAGING PARTNER)
(512) 345-8970
Entity
Organization

Contact information

Practice address
1500 N GRANT ST # 5963, DENVER, CO 80203-1859
(512) 345-8970
(855) 220-9655
Mailing address
2500 S LAKELINE BLVD STE 100, CEDAR PARK, TX 78613-2968
(512) 345-8970
(855) 220-9655

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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