Individual
PAUL S WISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD044344E
PA
207RX0202X
Medical Oncology Physician
Primary
MD044344E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013466490001
—
PA
Enumeration date
06/15/2006
Last updated
09/27/2019
Update your record
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