Individual
DR. IAN RICHARD WISECARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4251 HOHE ST, HOMER, AK 99603-7010
(907) 226-5600
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
219197
AK
Other
Enumeration date
05/03/2018
Last updated
01/07/2025
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