Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA WISEMAN
Active Sole ProprietorANDREA WISEMAN is a Podiatric Surgery healthcare provider located in OTWELL, Indiana. NPI 1437709516 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · OTWELL, IN
Registration Details
- NPI Number
- 1437709516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2019 (6.9172338266845 yrs)
- Last Updated
- May 5, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
3616 N COUNTY ROAD 850 EOTWELL, IN, 475648990Browse IN providers · Browse ZIP 47564
- Phone
- 8125820490
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.