Individual
STEPHEN MARSHALL WISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 ELFE ST, CHARLESTON, SC 29492-7438
(843) 278-1013
Mailing address
1311 ELFE ST, CHARLESTON, SC 29492-7438
(843) 278-1013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25987
SC
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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