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Dr. Dana Wiseman, MD
Family Medicine Physician in Willimantic, Connecticut
NPI 1811930795

Dana Wiseman is a Family Medicine Physician based in Willimantic, CT. Dana Wiseman practices in Willimantic, CT and has the professional credentials of MD. The NPI Number for Dana Wiseman is 1811930795 and holds a License No. 29768 (Connecticut).

The current practice location address for Dana Wiseman is 40 Mansfield Ave, Willimantic, CT and can be reached out via phone at 860-450-7471 and via fax at 860-450-0213.

Location: 40 Mansfield Ave, Willimantic, CT, 06226-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811930795
Provider Name
Dana Wiseman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Mansfield Ave, Willimantic, CT, 06226-2018
Phone Number
860-450-7471
Fax Number
860-450-0213
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01002768CT06 01 CT ANTHEM BLUE CROSS & BLUE
722627 01 CT CONNECTICARE ID
HAP281 01 CT OXFORD ID
institution
Provider Business Practice Location Address Details
Address
40 Mansfield Ave
City
Willimantic
State
Connecticut
Zip
06226-2018
Phone Number
860-450-7471
Fax Number
860-450-0213
person
Provider Business Mailing Address Details
Address
40 Mansfield Ave
City
Willimantic
State
Connecticut
Zip
06226-2018
Phone Number
860-450-7471
Fax Number
860-450-0213
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
29768 (Connecticut)
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 is not limited by age, sex, organ system, or disease entity.
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