Dr. Richard J Wiseley
Internist - Allergy & Immunology
3425 Executive Pkwy Ste 107
Toledo
, Ohio 43606-1326
Dr. Richard J Wiseley
Internist - Allergy & Immunology
3425 Executive Pkwy Ste 107
Toledo
, Ohio 43606-1326
(419) 535-6624
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Richard J Wiseley
- 3425 Executive Pkwy Ste 107
- Toledo, OH
- Zip : 43606-1333
- Fax : (419) 535-6624
- Phone : (419) 535-7798
Second Address
- Dr. Richard J Wiseley
- 3425 Executive Pkwy Ste 107
- Toledo, OH
- Zip : 43606-1326
- Fax : (419) 535-6654
- Phone : (419) 535-7798
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 35025209 | OH |
National Provider Identifier
| NPI | 1710969985 |
|---|---|
| Provider Name | Dr. Richard J Wiseley |
| First Address | Toledo, OH 43606-1333 |
| Second Address | Toledo, OH 43606-1326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2005 |
| Last Update Date | 31/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0074360 | (05) | OH |
| A70695 | (02) | |
| AW2953722 | FED DEA (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.