Dana Wiseman is a Family Medicine in Willimantic, Connecticut. Dana Wiseman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dana Wiseman is 1811930795. The last update date is 2023-03-07.
Dana Wiseman's current location address is 40 Mansfield Ave, Willimantic, Connecticut. You can contact this provider via phone number 8604507471 and fax number 8604500213. The mailing address for Dana Wiseman is 40 Mansfield Ave, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Wiseman |
|---|---|
| Address | 40 Mansfield Ave, Willimantic, Connecticut |
| Phone Number | 8604507471 |
| Fax Number | 8604500213 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811930795 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 40 Mansfield Ave |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262018 |
| Phone Number | 8604507471 |
| Fax Number | 8604500213 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29768 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01002768CT06 | CT | ANTHEM BLUE CROSS & BLUE | |
| 722627 | CT | CONNECTICARE ID | |
| HAP281 | CT | OXFORD ID |
Post Comment/ Review Below
What is the unique identifier code issued to Dana Wiseman by the Centers for Medicare & Medicaid Services (CMS)?
The Dana Wiseman has been assigned the NPI (National Provider Identifier) 1811930795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Dana Wiseman's facilities are situated?
The facilities of Dana Wiseman are physically located at the following address: 40 Mansfield Ave, Willimantic, CT, 62262018.
What is the area of specialization for Dana Wiseman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dana Wiseman is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811930795 to Dana Wiseman?
The Centers for Medicare & Medicaid Services originally issued the 1811930795 to Dana Wiseman on 2006-06-14.
When was the information regarding Dana Wiseman most recently updated?
The details pertaining to the Dana Wiseman, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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