Individual
KEVIN LEHR WISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(800) 926-8273
Mailing address
10080 SW INNOVATION WAY STE 201, PORT SAINT LUCIE, FL 34987-2129
(772) 344-3811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
179341
CA
208600000X
Surgery Physician
Primary
ME145024
FL
Other
Enumeration date
07/19/2017
Last updated
09/07/2023
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