Individual
ZACHARY WISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
47 MAIN ST, COOPERS MILLS, ME 04341-0207
(207) 549-7581
(207) 549-3439
Mailing address
47 MAIN ST, PO BOX 207, COOPERS MILLS, ME 04341-0207
(207) 549-7581
(207) 549-3439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1620
ME
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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