Individual
DR. ANNE BERENBOM WISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-7200
(913) 588-1227
Mailing address
PO BOX 219241, KANSAS CITY, MO 64121-9241
(913) 829-5511
(913) 829-5571
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-34367
KS
207W00000X
Ophthalmology Physician
240818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200678210A
—
KS
01
—
P00860901
RR MEDICARE
KS
Enumeration date
01/03/2007
Last updated
06/22/2020
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