Wiisanen, Jeffrey Mark

Wiisanen, Jeffrey Mark is an individual health care provider with primary practice located at 820 4Th St N , Fargo ND 58102-4539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wiisanen, Jeffrey Mark can be contacted via phone (701) 234-6161.

Contact Information

Primary practice address
820 4Th St N Fargo ND 58102-4539
Phone: (701) 234-6161
Fax: (701) 234-7592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58264 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 58264 Minnesota

Profile Details

NPI number 1306282025
LBN Legal business name Wiisanen, Jeffrey Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Sep 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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