Individual
MICHAEL B WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
800 OAK RIDGE TURNPIKE, SUITE A-402, OAK RIDGE, TN 37830
(865) 637-8812
(865) 824-4886
Mailing address
1450 DOWELL SPRINGS BLVD, SUITE 300, KNOXVILLE, TN 37909
(865) 637-8812
(865) 637-8865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16227
TN
363LF0000X
Family Nurse Practitioner
201214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529982
—
TN
Enumeration date
04/11/2006
Last updated
03/31/2025
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