Individual
DR. JERRY W WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9401 SW HIGHWAY 200, SUITE 402, OCALA, FL 34481-9612
(352) 873-4222
(352) 873-4232
Mailing address
9401 SW HIGHWAY 200, SUITE 402, OCALA, FL 34481-9612
(352) 873-4222
(352) 873-4232
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10412
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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