Wiseman, Gregory A

Wiseman, Gregory A is an sole proprietor health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Wiseman, Gregory A can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 28842 Minnesota
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 28842 Minnesota

Profile Details

NPI number 1205816329
LBN Legal business name Wiseman, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Aug 21st, 2020 - 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 1205816329 NPPES
Minnesota MEDICAID 454819100

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