Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWIN WISNER, PH.D., PA-C
ActiveDR. MARK EDWIN WISNER, PH.D., PA-C is a Medical Physician Assistant healthcare provider located in LEAVENWORTH, Kansas. NPI 1598771586 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LEAVENWORTH, KS
Registration Details
- NPI Number
- 1598771586
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.078998427744 yrs)
- Last Updated
- Sep 23, 2010
- Licenses
-
PA 15-000385 (KS)PA-15-000385 (KS)
Practice Information
- Address
-
4101 S 4TH STVAMC RM. A541LEAVENWORTH, KS, 660485014Browse KS providers · Browse ZIP 66048
- Phone
- 9137585416
- Fax
- 9137584219
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Surgical Physician Assistant
Other Medical Physician Assistant Providers in LEAVENWORTH, KS
| Name | Credential | NPI |
|---|---|---|
| LORREE HUFFMAN | PA | 1184683583 |
| WANDA JOHNSTON | PA-C | 1285694216 |
| MR. DOUGLAS A KAUFMAN | PA | 1164465290 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.