Individual
JEFFREY M WISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
830 W HIGH ST, SUITE 360, LIMA, OH 45801-3971
(419) 227-7117
(419) 227-2848
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34007802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2332818
—
OH
01
—
P00240059
RAILROAD MEDICARE
OH
Enumeration date
07/13/2005
Last updated
06/21/2017
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