JAN M. WISTE

ALBUQUERQUE, NM
NPI1700970597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  81-344)
Enumeration Date2006-10-03
Last Update Date2016-03-24
Business Address
JAN M. WISTE MD
1100 CENTRAL AVE SE PMG EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1125
Mailing Address
JAN M. WISTE MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770