SearchCalifornia1223G0001X

Richard Wiseman

NPI 1871752659 · on the registry since 2008 · sole proprietor

Practice

Address
2321 Bethards Dr
Santa Rosa, CA 95405
Phone
(707) 527-9280
Fax
(707) 527-9389
Organisation at this address
Todd R Skabelund Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-05

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