Individual
DR. RICHARD J WISELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3425 EXECUTIVE PKWY, STE 107, TOLEDO, OH 43606-1326
(419) 535-7798
(419) 535-6654
Mailing address
3425 EXECUTIVE PKWY STE 107, TOLEDO, OH 43606-1333
(419) 535-7798
(419) 535-6624
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
35025209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074360
—
OH
Enumeration date
11/15/2005
Last updated
03/07/2023
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