Individual
MS. AMANDA M WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4900 HEDGEWOOD, MIDLAND, MI 48640
(989) 233-7707
Mailing address
100 W. SILVER FOX LANE, MIDLAND, MI 48640-4267
(989) 233-7707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012739
MI
Other
Enumeration date
03/28/2007
Last updated
11/25/2013
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