Mark Edwin Wisner is a Surgical Physician Assistant based in Leavenworth, KS and is specialized in Surgical. Mark Edwin Wisner practices in Leavenworth, KS and has the professional credentials of PHD,PA-C. The NPI Number for Mark Edwin Wisner is 1598771586 and holds a License No. PA 15-000385 (Kansas).
The current practice location address for Mark Edwin Wisner is 4101 S 4Th St, Leavenworth, KS and can be reached out via phone at 913-758-5416 and via fax at 913-758-4219.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100340730A | 05 | KS | |
| 426715 | 01 | KS | BLUE CROSS/BLUE SHIELD |
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