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Individual
ALAN WISER
Active
Individual
ALAN WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019617E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002469
AETNA HMO
PA
05
—
0007584010001
—
PA
01
—
0047237000
IBC - PC/KHPE
PA
01
—
0075840102
AMERIHEALTH (UHC MA PLAN)
PA
01
—
080128475
RRM
PA
01
—
1027898
KEYSTONE MERCY
PA
01
—
104841
HIGHMARK BLUE SHIELD
PA
01
—
10938918
CAQH ID#
PA
01
—
11046883
MULTIPLAN
PA
01
—
1193395
CIGNA HMO/PPO
PA
01
—
2124766
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
350984
PHCS
PA
01
—
36452-MD019617E
HEALTH PARTNERS
PA
01
—
4101143
AETNA PPO
PA
01
—
P518644
OXFORD
PA
Enumeration date
06/07/2006
Last updated
08/20/2009
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