Individual
DR. MERLE DEAN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1929
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134911001
—
AR
Enumeration date
07/27/2006
Last updated
12/06/2012
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