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ANDREA E WISMANN M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073756045

Individual Registrant:
 ANDREA E WISMANN M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
373 E 10TH AVE  SPRINGFIELD, CO 81073-1622 US
Tel: (71-9) -523-6628  Fax: 719-523-4513

Contact information for business:
373 EAST 10TH AVENUE  SPRINGFIELD, CO 81073 US
Tel: (71-9) -523-6628  Fax: 719-523-4513

Registration Information:
NPI: 1073756045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CODR0051260

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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