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Contact Information

WISEMD
1111 W 4TH ST
MADERA, CA93637-4474
 Phone: 516-467-9393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207QS1201X 08 Physician/Family Practice
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for WISEMD · (Female)

NPI # 1437847837
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2023
Last updated 11/16/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other A184152 CALIFORNIA STATE LICENSE
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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