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

DR. JEREMY DOUGLAS WISEMAN, MD

Active Sole Proprietor

DR. JEREMY DOUGLAS WISEMAN, MD is a Family Medicine healthcare provider located in CEDAR PARK, Texas. NPI 1114188497 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CEDAR PARK, TX

Registration Details

NPI Number
1114188497
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2008 (18.125500866206 yrs)
Last Updated
Feb 7, 2022
License
M9746 (TX)
Sole Proprietor
Yes

Practice Information

Address
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX, 786132968
Browse TX providers · Browse ZIP 78613
Phone
5123458970
Fax
5123456689
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CEDAR PARK, TX

Name Credential NPI
BRYAN K MORRISON M.D. 1013912823
DR. MARK DAVID STOECKEL MD 1689671042
ELIZABETH BURNELL MD 1255325429
SUSAN C KING MD 1669459327
CAMERON T KING MD 1457338436
DR. ROBERT L RINGLER JR. MD 1225005051
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.