BENJAMIN ERNEST WISEMAN

TUPELO, MS
NPI1649289794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MS  18380)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: MS  18380)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- BENJAMIN ERNEST WISEMAN MD
830 S GLOSTER ST
TUPELO, MS 38801
Phone number: 662-377-4394
Mailing Address
-- BENJAMIN ERNEST WISEMAN MD
PO BOX 3294
TUPELO, MS 38803
Phone number: 662-377-4394