Individual
PAUL WISTERMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4664
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4664
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2024024066
MO
207Y00000X
Otolaryngology Physician
30264
NE
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
64141
AZ
Other
Enumeration date
02/21/2016
Last updated
08/12/2024
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