Individual
DR. MICHAEL GUY WISMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8501 W BOWLES AVE, LITTLETON, CO 80123-9502
(303) 972-6068
Mailing address
9760 HILLDALE DR, MORRISON, CO 80465-2334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1112
CO
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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