Individual
DR. THOMAS WISENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER CARDIOLOGY SECTION, TRIPLER AMC, HI 96859-5001
(808) 433-1225
Mailing address
682 OLD MOKAPU RD, KAILUA, HI 96734-1635
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
12589
HI
Other
Enumeration date
11/07/2005
Last updated
07/02/2011
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