Individual
THOMAS D WISENER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
451 E UNIVERSITY DR, TEMPE, AZ 85281-2000
(480) 965-3346
(480) 965-8914
Mailing address
451 E UNIVERSITY DR, TEMPE, AZ 85281-2000
(480) 965-3346
(480) 965-8914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN046785
AZ
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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