Individual
DOUGLAS ALLAN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
306 4TH ST, WILLIAMS, IA 50271-7655
(515) 669-8499
Mailing address
306 4TH ST, WILLIAMS, IA 50271-7655
(515) 669-8499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116441
IA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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