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Individual
KATHRYN M WISSER
Active
Individual
KATHRYN M WISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101016749
MI
207RG0100X
Gastroenterology Physician
146371
MT
207RG0100X
Gastroenterology Physician
DR.0058674
CO
Other
Enumeration date
07/07/2006
Last updated
11/12/2024
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