Individual
BRIAN FREDERICK WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 SUTHERLAND AVE., KNOXVILLE, TN 37919
(865) 521-6174
Mailing address
2200 SUTHERLAND AVE., KNOXVILLE, TN 37919
(865) 521-6174
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3333936
—
TN
Enumeration date
01/24/2006
Last updated
07/01/2009
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