Robert R Wisner, PA C Valid NPI

Individual provider · Physician Assistant · Galion, OH

NPI

1902876154

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

50001338 (OH)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-23

Last updated

2020-11-18