DEREK WISEMAN

ROSEBURG, OR
NPI1952988222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD219665)
Enumeration Date2021-03-24
Last Update Date2024-08-05
Business Address
Dr. DEREK WISEMAN MD
1937 W HARVARD AVE
ROSEBURG, OR 97471-2720
Phone number: 541-677-7200
Mailing Address
Dr. DEREK WISEMAN MD
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200
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