Individual
DR. ROBERT MICHAEL WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 WEST SEVENTH NORTH ST, MORRISTOWN, TN 37814
(423) 581-1000
(423) 581-1399
Mailing address
615 WEST SEVENTH NORTH ST, MORRISTOWN, TN 37814
(423) 581-1000
(423) 581-1399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD019682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92796
BCBS OF TN
TN
Enumeration date
10/23/2006
Last updated
05/03/2011
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