Individual
ROBERT WILLIAM WISENBERGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 641-3000
Mailing address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.434436
OH
163WE0003X
Emergency Registered Nurse
434436
OH
163WP0200X
Pediatric Registered Nurse
434436
OH
Other
Enumeration date
12/11/2020
Last updated
01/20/2025
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