| Doctor Name: | BARBARA L WISEMAN |
| NPI Number: | 1255398079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 190935 |
| Business Practice Address: | 8836 State Route 434 Apalachin, NY - 137324102 |
| Business Phone Number: | 6076255004 |
| Business Fax Number: | 6076255879 |
| Mailing Address: | 346 Grand Ave, JOHNSON CITY |
| State: | NY |
| Postal Code: | 137902580 |
| Phone Number: | 6076255004 |
| Fax Number: | 6076255879 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 09/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 190935 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |