Individual
THOMAS WAYNE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 S SARA RD STE 200, MUSTANG, OK 73064-4308
(405) 578-3250
(405) 578-3299
Mailing address
201 S SARA RD STE 200, MUSTANG, OK 73064-4308
(405) 578-3250
(405) 578-3299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7784
OK
Other
Enumeration date
03/31/2021
Last updated
09/10/2024
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