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Courtney Wiseman, PA
NPI 1144769332 · on the registry since 2017
Practice
- Address
- 18144 Seco St
Jamestown, CA 95327 - Phone
- (209) 984-4820
- Fax
- (209) 984-4825
- Organisation at this address
- Mathiesen Memorial Health Clinic
Mathiesen Memorial Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 1900 Randolph Rd, Charlotte, NC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- NC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California