Individual
JANE WISEMAN STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1109 BELLEFONTE RD, FLATWOODS, KY 41139-2503
(606) 836-8086
(606) 836-3743
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35096112
OH
207Q00000X
Family Medicine Physician
Primary
43728
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083292
—
OH
05
—
7100132920
—
KY
Enumeration date
06/12/2007
Last updated
12/02/2014
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