Individual
WILLIAM HENRY WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2010 W 38TH ST UPPR LEVEL, ERIE, PA 16508-2004
(814) 866-3986
(814) 866-6837
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS-011918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016247190001
—
PA
Enumeration date
05/17/2006
Last updated
05/04/2023
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