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

DR. DEREK WISEMAN, MD

Active

DR. DEREK WISEMAN, MD is a Family Medicine healthcare provider located in ROSEBURG, Oregon. NPI 1952988222 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROSEBURG, OR

Registration Details

NPI Number
1952988222
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2021 (5.3868460040573 yrs)
Last Updated
Aug 5, 2024
License
MD219665 (OR)

Practice Information

Address
1937 W HARVARD AVE
ROSEBURG, OR, 974712720
Browse OR providers · Browse ZIP 97471
Phone
5416777200
Fax
5412293309
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ROSEBURG, OR

Name Credential NPI
DR. CLYDE A. KEYS MD 1952300881
DR. CURTIS K HANST MD 1083614648
LAURENCE M. SHARP DO 1780677146
DR. THOMAS S TURK M.D. 1730161571
AIMEE FOLSOM HANSEN FNP 1376527788
SARAH LYNN AGSTEN DO 1104803691
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.