Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY MARK WIISANEN, MD
ActiveJEFFREY MARK WIISANEN, MD is a Hematology healthcare provider located in FARGO, North Dakota. NPI 1306282025 is currently active in the NPPES registry. Verify at CMS.
Hematology · FARGO, ND
Registration Details
- NPI Number
- 1306282025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2013 (13.047211619796 yrs)
- Last Updated
- Sep 17, 2019
- Licenses
-
58264 (MN)58264 (MN)
Practice Information
- Address
-
820 4TH ST NFARGO, ND, 581024539Browse ND providers · Browse ZIP 58102
- Phone
- 7012346161
- Fax
- 7012347592
- Primary Specialty
-
Hematology
207RH0003X
- Additional Specialty
- Hematology
Other Hematology Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| GLENN J SHAMDAS | MD | 1538118401 |
| MAHENDRA K GUPTA | MD | 1508899139 |
| ANU G GABA | MD | 1922025907 |
| DR. LOUIS HUBERT GEERAERTS | MD | 1770500639 |
| GERALD G GROSS | MD | 1013935667 |
| HOWARD L RUSSELL | MD | 1013938752 |
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.