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Individual
CHRISTOPHER J WISGO
Active
Individual
CHRISTOPHER J WISGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD057309L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001603467
—
PA
01
—
0016034670008
PROMISE
PA
01
—
0870310000
KEYSTONE
PA
01
—
30010341
KEYSTONE MERCY
PA
01
—
838274
BS
PA
Enumeration date
05/01/2006
Last updated
01/05/2015
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