Wiseman, Alexander Clark

Wiseman, Alexander Clark is an individual health care provider with primary practice located at 2535 S Downing St Ste 380 , Denver CO 80210-5850. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Wiseman, Alexander Clark can be contacted via phone (303) 778-5797.

Contact Information

Primary practice address
2535 S Downing St Ste 380 Denver CO 80210-5850
Fax: (303) 778-5205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 36734 Colorado
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X DR.0036734 Colorado

Profile Details

NPI number 1033209713
LBN Legal business name Wiseman, Alexander Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 25th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033209713 NPPES
Colorado MEDICAID 76882781

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