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Individual

FREDERICK WISEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
102 S LAKEVIEW AVE, STURGIS, MI 49091-1947
(269) 651-2320
(269) 659-4704
Mailing address
PO BOX 730, STURGIS, MI 49091-0730
(269) 651-2320
(269) 659-4704

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000866
MI

Other

Enumeration date
05/27/2005
Last updated
08/01/2012
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