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Individual

DR. TIFFANY LYNN WISSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8501 OLD TROY PIKE STE 120, HUBER HEIGHTS, OH 45424-1061
(937) 237-4945
(937) 237-4925
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35120987
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0082872
OH
Enumeration date
06/30/2010
Last updated
03/03/2026
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