Individual
ROBERT WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPC
Contact information
Practice address
141 MAIN ST, SPENCER, WV 25276-1414
(304) 927-5262
(304) 927-0378
Mailing address
141 MAIN ST, SPENCER, WV 25276-1414
(304) 927-5262
(304) 927-0378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
278
WV
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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