Jeffrey M Wisser DO LLC
Surgery in Lima, OH. Organization (NPI-2).
NPI number1659552255
StatusActive
Last updated in NPPESNov 26, 2012
Details
- NPI
- 1659552255
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey M Wisser DO LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2007
- Last updated
- Nov 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | OH | Yes |
Practice location
750 W High StSuite 330
Lima, OH 45801-2969
Phone 419-228-1077 · Fax 419-228-1075
Mailing address
750 W High StSuite 330
Lima, OH 45801-2969
Phone 419-228-1077 · Fax 419-228-1075
Authorized official
Jeffrey M Wisser
President
4192281077
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