Individual
SANDRA MARY WISCHMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 WABASH ST STE 400D, MICHIGAN CITY, IN 46360-4361
(219) 861-8828
(219) 868-8827
Mailing address
7895 GRAND BLVD, HOBART, IN 46342-6665
(219) 947-1910
(219) 947-3117
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005417A
IN
Other
Enumeration date
02/20/2012
Last updated
10/31/2018
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