Individual
DR. OLIVER JAYME WISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DO01032
RI
207ND0101X
MOHS-Micrographic Surgery Physician
DO157812
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12729019
CAQH
OR
05
—
500674728
—
OR
Enumeration date
04/06/2007
Last updated
12/19/2025
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