Wiisanen, Jeffrey Mark
Wiisanen, Jeffrey Mark is an individual health care provider with primary practice located at 820 4Th St N , Fargo ND 58102-4539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wiisanen, Jeffrey Mark can be contacted via phone (701) 234-6161.Contact Information
Primary practice address
820 4Th St N
Fargo ND 58102-4539
Phone: (701) 234-6161
Fax: (701) 234-7592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 58264 | Minnesota |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 58264 | Minnesota |
Profile Details
| NPI number | 1306282025 |
|---|---|
| LBN Legal business name | Wiisanen, Jeffrey Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2013 |
| Last updated | Sep 17th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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