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Individual

IAN WISSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(877) 626-2500
Mailing address
1115 NORWAY AVE, ALTOONA, PA 16602-4041
(814) 414-8344

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN670654
PA

Other

Enumeration date
11/02/2021
Last updated
11/02/2021
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