Individual
JAKE WISENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UPMC HAMOT SCHOOL OF ANESTHESIA 201 STATE ST, ERIE, PA 16550-0001
(412) 291-0873
Mailing address
926 LIBERTY ST APT 2, ERIE, PA 16502-1263
(412) 291-0873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN697386
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN697386
PA
Other
Enumeration date
06/24/2021
Last updated
05/13/2022
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