Individual
JAMES P WISHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9678
(920) 648-8393
(920) 648-3656
Mailing address
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9678
(920) 648-8393
(920) 648-3656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24282
WI
Other
Enumeration date
08/11/2006
Last updated
03/07/2023
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