Individual
ERIN WISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 N HAMILTON ST, RICHMOND, VA 23221-2601
(804) 355-4358
(804) 213-0548
Mailing address
201 N HAMILTON ST, RICHMOND, VA 23221-2601
(804) 355-4358
(804) 213-0548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101261443
VA
207Q00000X
Family Medicine Physician
MD15157
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101261443
VIRGINIA BOARD OF MEDICINE
RI
01
—
MD15157
RHODE ISLAND MEDICAL BOARD
RI
Enumeration date
06/11/2012
Last updated
07/21/2022
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