Dr RICHARD C WISEMAN is a male medical professional, specializing in General Surgery. He graduated in 2007 from University Of Texas Medical Branch At Galveston.
PROVIDENCE HEALTH AND SERVICES OREGON
1108 JUNE ST
HOOD RIVER
OR
970311513
Tel: 5413871334
| Npi | 1871766600 |
| Pac Id | 6608019310 |
| Professional Enrollment Id | I20140708001631 |
| Last Name | WISEMAN |
| First Name | RICHARD |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2007 |
| Primary Specialty | GENERAL SURGERY |
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| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Group Practice Pac Id | 7315856010 |
| Number Of Group Practice Members | 60 |
| Line 1 Street Address | 1108 JUNE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HOOD RIVER |
| State | OR |
| Zip Code | 970311513 |
| Phone Number | 5413871334 |
| Hospital Affiliation Ccn 1 | 381318 |
| Hospital Affiliation Lbn 1 | PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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