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1215912415
JODY LYNN WISEMAN
SOUTH BEND, IN
NPI
1215912415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01050941A)
Enumeration Date
2005-12-09
Last Update Date
2023-04-28
Business Address
JODY LYNN WISEMAN M.D.
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
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Mailing Address
JODY LYNN WISEMAN M.D.
3245 HEALTH DRIVE SUITE 100
GRANGER, IN 46530-3245
Phone number: 574-647-1840
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