Individual
DR. DAVID E WISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
470 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1781
(360) 676-1610
(360) 676-2459
Mailing address
500 BIRCHWOOD AVE, SUITE C, BELLINGHAM, WA 98225-1704
(360) 676-1610
(360) 676-2459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00016552025209
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1807700
—
WA
Enumeration date
03/10/2006
Last updated
03/24/2014
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