Individual
DR. PAMELA MARKIEWICZ WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4307
(504) 207-3060
(504) 207-3067
Mailing address
5318 CAMP ST, NEW ORLEANS, LA 70115-3036
(504) 452-8737
(504) 207-3067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11949R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00910599
—
AL
05
—
08004801
—
MS
05
—
1684660
—
LA
Enumeration date
10/04/2006
Last updated
12/01/2014
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