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1831356062
LORI M WISELY M D
TIPTON, IN
NPI
1831356062
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Entity Type
Organization
Authorized Contact
LORI M WISELY
Physician
765-675-2069
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01042996)
Enumeration Date
2008-05-16
Last Update Date
2008-05-16
Business Address
LORI M WISELY M D
1060 S MAIN ST
TIPTON, IN 46072-8327
Phone number: 765-675-2069
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Mailing Address
LORI M WISELY M D
1060 S MAIN ST PO BOX 286
TIPTON, IN 46072-8327
Phone number: 765-675-2069
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