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Contact Information

ANDREA E WISMANN, MD
6951 SE 15TH ST
MIDWEST CITY, OK73110-2748
 Phone: 405-233-0450
 Fax: 405-984-4407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANDREA E WISMANN · (Female)

NPI # 1073756045
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2009
Last updated 01/07/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR0051260
  • OK License # 39061
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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