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Individual
PAUL WISTERMAYER
Active
Individual
PAUL WISTERMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2024024066
MO
207Y00000X
Otolaryngology Physician
30264
NE
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
64141
AZ
Other
Enumeration date
02/21/2016
Last updated
08/14/2026
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