Individual
DR. ROBERT WILLIAM WISNER-CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21285-6815
(410) 938-4750
(410) 938-5310
Mailing address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-4750
(410) 938-5310
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0036339
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312201800
—
MD
Enumeration date
09/30/2005
Last updated
12/08/2022
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