Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA E WISMANN, M.D.
Active Sole ProprietorANDREA E WISMANN, M.D. is a Geriatric Medicine healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1073756045 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · MIDWEST CITY, OK
Registration Details
- NPI Number
- 1073756045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2009 (17.358207981884 yrs)
- Last Updated
- Jan 7, 2026
- Licenses
-
39061 (OK)DR0051260 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6951 SE 15TH STMIDWEST CITY, OK, 731102748Browse OK providers · Browse ZIP 73110
- Phone
- 4052330450
- Fax
- 4059844407
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Family Medicine
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.