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W. Robert Wisman Md Pc
Medical Specialty Clinic/Center in Roanoke, Virginia
NPI 1316258791

W. Robert Wisman Md Pc is a Medical Specialty Clinic/Center based in Roanoke, VA and is specialized in Medical Specialty. W. Robert Wisman Md Pc practices in Roanoke, VA. The NPI Number for W. Robert Wisman Md Pc is 1316258791 and holds a License No. 0101014128 (Virginia).

The current practice location address for W. Robert Wisman Md Pc is 1506 Franklin Rd Sw, Roanoke, VA and can be reached out via phone at 540-345-8124 and via fax at 540-345-3423.

Location: 1506 Franklin Rd Sw, Roanoke, VA, 24016-5207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316258791
Provider Name
W. Robert Wisman Md Pc
Credential
Provider Entity Type
Organization
Address
1506 Franklin Rd Sw, Roanoke, VA, 24016-5207
Phone Number
540-345-8124
Fax Number
540-345-3423
Provider Enumeration Date
06/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006228623 05 VA
institution
Provider Business Practice Location Address Details
Address
1506 Franklin Rd Sw
City
Roanoke
State
Virginia
Zip
24016-5207
Phone Number
540-345-8124
Fax Number
540-345-3423
person
Provider Business Mailing Address Details
Address
1506 Franklin Rd Sw
City
Roanoke
State
Virginia
Zip
24016-5207
Phone Number
540-345-8124
Fax Number
540-345-3423
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
0101014128 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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