Robert R Wisner in Crestline - Physician Assistant
Robert R Wisner - NPI 1902876154
Robert R Wisner is a Physician Assistant in Crestline, Ohio. Robert R Wisner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert R Wisner is 1902876154. The last update date is 2020-11-18.
Robert R Wisner's current location address is 700 N Columbus St, Crestline, Ohio. You can contact this provider via phone number 4194680522. The mailing address for Robert R Wisner is 700 N Columbus St, Crestline, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert R Wisner |
|---|---|
| Address | 700 N Columbus St, Crestline, Ohio |
| Phone Number | 4194680522 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1902876154 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2020-11-18 |
Provider Mailing Address Detail
| Address | 700 N Columbus St |
|---|---|
| City | Crestline |
| State | Ohio (OH) |
| Post Code | 448271455 |
| Phone Number | 4194680522 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50001338 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H375510 | OH | MEDICARE | |
| 83696 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert R Wisner by the Centers for Medicare & Medicaid Services?
The Robert R Wisner has been issued the NPI (National Provider Identifier) 1902876154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert R Wisner?
The Robert R Wisner is situated at 700 N Columbus St, in the city of Crestline, state of OH, with the zip code 448271455.
What is Robert R Wisner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert R Wisner is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902876154 to Robert R Wisner?
The Robert R Wisner received its 1902876154 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date were the Robert R Wisner's details last updated?
The information pertaining to the Robert R Wisner, including its address, specialty, and other details, was most recently updated on 2020-11-18.