Individual
ALAN WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4070 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1556
(610) 825-5741
(610) 825-1855
Mailing address
4070 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1556
(610) 825-5741
(610) 825-1855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019617E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002469
AETNA HMO
PA
05
—
0007584010001
—
PA
01
—
0047237000
IBC - PC/KHPE
PA
01
—
0075840102
AMERIHEALTH (UHC MA PLAN)
PA
01
—
080128475
RRM
PA
01
—
1027898
KEYSTONE MERCY
PA
01
—
104841
HIGHMARK BLUE SHIELD
PA
01
—
10938918
CAQH ID#
PA
01
—
11046883
MULTIPLAN
PA
01
—
1193395
CIGNA HMO/PPO
PA
01
—
2124766
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
350984
PHCS
PA
01
—
36452-MD019617E
HEALTH PARTNERS
PA
01
—
4101143
AETNA PPO
PA
01
—
P518644
OXFORD
PA
Enumeration date
06/07/2006
Last updated
08/20/2009
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