Individual
JONATHAN WISMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1302 SANDHILL DR, DEWITT, MI 48820-9550
(517) 242-0425
(517) 237-6089
Mailing address
1302 SANDHILL DR, DEWITT, MI 48820-9550
(517) 242-0425
(517) 237-6089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018310
MI
Other
Enumeration date
02/22/2018
Last updated
04/28/2023
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