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Individual

DR. MICHAEL C WISMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16792 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3748
(814) 373-2335
(814) 373-2338
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271196
MA
207RH0003X
Hematology & Oncology Physician
Primary
MD482335
PA

Other

Enumeration date
05/29/2017
Last updated
01/16/2025
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