Wiisanen, Matthew Evert
Wiisanen, Matthew Evert is an individual health care provider with primary practice located at 2205 Mccallie Ave , Chattanooga TN 37404-3230. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wiisanen, Matthew Evert can be contacted via phone (423) 508-6733.Contact Information
Primary practice address
2205 Mccallie Ave
Chattanooga TN 37404-3230
Phone: (423) 508-6733
Fax: (423) 508-6744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12800 | North Dakota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42001 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 54571 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 12800 | North Dakota |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 54571 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 12800 | North Dakota |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 54571 | Tennessee |
Profile Details
| NPI number | 1215945001 |
|---|---|
| LBN Legal business name | Wiisanen, Matthew Evert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jan 31st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215945001 | NPPES |
| Minnesota | MEDICAID | 176925100 |
Popular Providers
-
Fowler, Andrew Harold
2501 Citico Ave , Chattanooga TN 37404-1127 -
Puri, Poonam
979 East Third Street Suite C-520, Chattanooga TN 37403 -
Hoback, James W
2501 Citico Ave , Chattanooga TN 37404-1127 -
Coylewright, Megan J
975 E 3Rd St , Chattanooga TN 37403-2147 -
Hemphill, John Carter
2501 Citico Ave , Chattanooga TN 37404-1127 -
Golding, John Vincent
1614 Gunbarrel Road Suite 101, Chattanooga TN 37421 -
Huang, Robert L.
2501 Citico Ave , Chattanooga TN 37404-1127 -
Richards, Theodore D
2341 Mccallie Ave Plaza 3, Ste. 200, Chattanooga TN 37404-3239