Individual
JON MARTIN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5410 CONNECTICUT AVE NW, SUITE 117, WASHINGTON, DC 20015-2859
(202) 966-8868
(202) 244-3071
Mailing address
5410 CONNECTICUT AVE NW, SUITE 117, WASHINGTON, DC 20015
(202) 966-8868
(202) 244-3071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12890
DC
Other
Enumeration date
09/12/2005
Last updated
10/18/2007
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