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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES EDWARD WISEMAN

Active Sole Proprietor

CHARLES EDWARD WISEMAN is a Private Vehicle healthcare provider located in BLUE SPRINGS, Missouri. NPI 1063975423 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · BLUE SPRINGS, MO

Registration Details

NPI Number
1063975423
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2019 (7.3612723756987 yrs)
Last Updated
Apr 11, 2019
Sole Proprietor
Yes

Practice Information

Address
8091 SW 4TH ST
BLUE SPRINGS, MO, 640147846
Browse MO providers · Browse ZIP 64014
Phone
3144963230
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.