Individual
DR. PHILIP A VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457383135
—
NC
01
—
85096
NCBCBS
NC
05
—
8985096
—
NC
05
—
N27643
—
SC
Enumeration date
07/06/2006
Last updated
10/02/2014
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