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-- BENJAMIN ERNEST WISEMAN -- MD

Individual Provider (NPI-1) Active

Anesthesiology, Pain Medicine

Provider Information

NPI Number
1649289794
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
830 S GLOSTER ST, TUPELO, MS, 38801
Phone
(662) 377-4394
Fax
(662) 377-7045

Specialties & Taxonomies

Anesthesiology License: MS #18380
Anesthesiology, Pain Medicine Primary License: MS #18380

All Addresses

MAILING

PO BOX 3294

TUPELO, MS, 38803

(662) 377-4394

LOCATION

830 S GLOSTER ST

TUPELO, MS, 38801

(662) 377-4394