Organization
COMPLETE PHYSICIAN SERVICES
Active
Other names
Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WISEMAN DO (PRESIDENT)
(215) 533-1333
Entity
Organization
Contact information
Practice address
1216 E HUNTING PARK AVE, PHILADELPHIA, PA 19124
(215) 533-1333
(215) 744-4324
Mailing address
1216 E HUNTING PARK AVE, PHILADELPHIA, PA 19124
(215) 533-1333
(215) 744-4324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4457L
PA
Other
Enumeration date
05/23/2006
Last updated
08/13/2014
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