Individual
DR. CRAIG BURTON WISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1024 MOUNT ALEM DR, HUMMELSTOWN, PA 17036-8900
(717) 756-6781
(717) 566-1820
Mailing address
1024 MOUNT ALEM DR, HUMMELSTOWN, PA 17036-8900
(717) 756-6781
(717) 566-1820
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD 023770 E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0911578
—
PA
Enumeration date
03/16/2011
Last updated
03/16/2011
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