Individual
DR. RAYMOND GERARD WISDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1308 MACDADE BLVD, FOLSOM, PA 19033-1612
(610) 532-0657
(610) 532-4258
Mailing address
540 LIMEKILN PIKE, MAPLE GLEN, PA 19002-2900
(215) 540-0101
(215) 542-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002552L
PA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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