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Individual

DR. BARBARA ANN WISMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
230 GOLDEN GATE AVE, TOM WADDELL URBAN HEALTH CLINIC, SAN FRANCISCO, CA 94102-3706
(415) 355-7426
(415) 674-6378
Mailing address
230 GOLDEN GATE AVE, TOM WADDELL URBAN HEALTH CLINIC, SAN FRANCISCO, CA 94102-3706
(415) 355-7426
(415) 674-6378

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G77730
CA
2083P0901X
Public Health & General Preventive Medicine Physician
G77730
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019505
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Enumeration date
03/23/2007
Last updated
09/28/2013
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