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1114188497
JEREMY DOUGLAS WISEMAN
CEDAR PARK, TX
NPI
1114188497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX M9746)
Enumeration Date
2008-06-19
Last Update Date
2022-02-07
Business Address
Dr. JEREMY DOUGLAS WISEMAN MD
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613-2968
Phone number: 512-345-8970
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Mailing Address
Dr. JEREMY DOUGLAS WISEMAN MD
2500 S LAKELINE BLVD STE 100
CEDAR PARK, TX 78613-2968
Phone number: 512-345-8970
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