Individual
DR. MARC WISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACC
Contact information
Practice address
3020 HAMAKER CT, SUITE 101, FAIRFAX, VA 22031-2238
(703) 289-9400
(703) 289-9404
Mailing address
3020 HAMAKER CT, SUITE 101, FAIRFAX, VA 22031-2238
(703) 289-9400
(703) 289-9404
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101034890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006074286
—
VA
Enumeration date
03/17/2006
Last updated
11/27/2023
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