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1790173474
JOSEPH WISTERMAN
SPRINGFIELD, MO
NPI
1790173474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
Enumeration Date
2015-01-02
Last Update Date
2015-01-02
Business Address
-- JOSEPH WISTERMAN
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-6000
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Mailing Address
-- JOSEPH WISTERMAN
1000 E PRIMROSE ST STE 520
SPRINGFIELD, MO 65807-5180
Phone number:
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