Individual
DR. BRANDT JUSTIN WISKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LMSW
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-5251
Mailing address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10021
OK
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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