Individual
JASON PATRICK WISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1850
(406) 327-1875
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
(406) 329-2659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
173T2
WY
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-128574
MT
Other
Enumeration date
03/27/2007
Last updated
09/07/2023
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