Individual
MARC DAVID WISHINGRAD
Active
Individual
MARC DAVID WISHINGRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G69602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G696020
—
CA
Enumeration date
05/06/2006
Last updated
11/30/2007
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