IndividualActive
Andrea Wismann, M.D.
NPI 1073756045 · Geriatric Medicine (Family Medicine) Physician · Midwest City, OK
Provider details
- NPI number
- 1073756045
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 39061 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6951 Se 15th St
Midwest City, OK 73110-2748
Phone: (405) 233-0450
Fax: (405) 984-4407
Approximate (ZIP-level) locationGet directions
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Additional practice locations (2)
- 373 E 10th AveSpringfield, CO 81073-1622Phone: (719) 523-6628Fax: (719) 523-4513
- 1122 Ne 13th St # 1200Oklahoma City, OK 73117-1039Phone: (405) 271-8558Fax: (405) 271-3887
Registry dates
- Enumerated
- 2009-04-07
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.