Individual
DR. CHARLES LOUIS WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 WILSHIRE BLVD, SECOND FLOOR, BEVERLY HILLS, CA 90211-1958
(323) 377-4741
(626) 577-9069
Mailing address
8900 WILSHIRE BLVD, SECOND FLOOR, BEVERLY HILLS, CA 90211-1958
(323) 377-4741
(626) 577-9069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A24132
CA
207RX0202X
Medical Oncology Physician
Primary
A24132
CA
Other
Enumeration date
11/02/2005
Last updated
10/06/2011
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