JEFFREY MARK WIISANEN

FARGO, ND
NPI1306282025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: MN  58264)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MN  58264)
Enumeration Date2013-05-21
Last Update Date2019-09-17
Business Address
JEFFREY MARK WIISANEN MD
820 4TH ST N
FARGO, ND 58102-4539
Phone number: 701-234-6161
Mailing Address
JEFFREY MARK WIISANEN MD
820 4TH ST N
FARGO, ND 58102-4539
Phone number: 701-234-6161