Individual
KELSEY ANN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 8TH AVE NE, HAZEN, ND 58545-4637
(701) 873-4445
Mailing address
617 4TH ST NE, HAZEN, ND 58545-4606
(701) 648-9649
(701) 639-4709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17267
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2018
Last updated
12/22/2025
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