Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Collin John Wiseman, SFIDC

Individual provider Independent Duty Corpsman · NPI 1841705910

Mr. Collin John Wiseman, SFIDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (619) 532-7968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1841705910
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedDecember 11, 2017
Last updated in NPPESDecember 11, 2017

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