Individual
JOHN P WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 W JEFFERSON ST STE 101, FRANKLIN, IN 46131-2731
(317) 736-6133
(317) 736-6403
Mailing address
PO BOX 800, FRANKLIN, IN 46131-0800
(317) 736-6133
(317) 736-6403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050177
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080172441
RAILROAD MEDICARE
IN
05
—
200283680
—
IN
Enumeration date
11/28/2006
Last updated
10/06/2025
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