MAYCEN E WISEMAN

SPRINGFIELD, IL
NPI1811581614
Former NameMAYCEN E KALAHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209022720)
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
MAYCEN E WISEMAN APRN
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
Mailing Address
MAYCEN E WISEMAN APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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