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Individual

DOUGLAS C WISCH

Active
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Individual

DOUGLAS C WISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
032872
CT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
032872
CT
2086S0105X
Surgery of the Hand (Surgery) Physician
032872
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001328724
CT
01
010032872CT01
BC
CT
01
2205151
AETNA
CT
Enumeration date
05/22/2006
Last updated
06/17/2021
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