Organization
JEFFREY M WISSER DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M WISSER D.O. (PRESIDENT)
(419) 228-1077
Entity
Organization
Contact information
Practice address
750 W HIGH ST, SUITE 330, LIMA, OH 45801-2969
(419) 228-1077
(419) 228-1075
Mailing address
750 W HIGH ST, SUITE 330, LIMA, OH 45801-2969
(419) 228-1077
(419) 228-1075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6265
RAILROAD MEDICARE
OH
Enumeration date
11/25/2007
Last updated
11/26/2012
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