Individual
DR. JACOB MICHAEL WISBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 N CALVERT ST, SUITE 400, BALTIMORE, MD 21218-2867
(410) 554-2270
Mailing address
3333 N CALVERT ST, SUITE 400, BALTIMORE, MD 21218-2867
(410) 554-2270
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101249076
VA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
D0070654
MD
Other
Enumeration date
11/20/2007
Last updated
06/03/2014
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