Individual
JAN WISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1040 GREENWOOD SPRINGS BLVD, GREENWOOD, IN 46143-7975
(317) 893-0888
(317) 893-0815
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001389A
IN
Other
Enumeration date
05/06/2008
Last updated
03/17/2021
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