BRIAN PATRICK WISEMAN

SALT LAKE CITY, UT
NPI1497319537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2088P0231X 
(Licence: UT  13908858-1205)
Enumeration Date2019-04-24
Last Update Date2024-04-09
Business Address
BRIAN PATRICK WISEMAN MD
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121
Mailing Address
BRIAN PATRICK WISEMAN MD
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121