Individual
ADAM C WISENBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 943-5901
Mailing address
5564 GA HWY 122 E, HAHIRA, GA 31632
(229) 300-0401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11016365
FL
367500000X
Certified Registered Nurse Anesthetist
RN213527
GA
367500000X
Certified Registered Nurse Anesthetist
RN641843
PA
Other
Enumeration date
12/29/2014
Last updated
07/09/2025
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