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1508856832
LORI M WISELY
TIPTON, IN
NPI
1508856832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01042996A)
Enumeration Date
2005-10-27
Last Update Date
2020-11-25
Business Address
Mrs. LORI M WISELY MD
1060 S MAIN ST; SUITE 4
TIPTON, IN 46072-8327
Phone number: 765-675-2069
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Mailing Address
Mrs. LORI M WISELY MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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