Organization · Type 2 NPI

W. Robert Wisman MD PC

Medical Specialty Clinic/Center · Roanoke, VA

NPI number 1316258791 Active

Practice location

1506 Franklin Rd SW
Roanoke, VA 24016-5207

Fax (540) 345-3423

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X0101014128 (VA)

Medical Specialty Clinic/Center: 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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About NPI 1316258791

W. Robert Wisman MD PC's National Provider Identifier is 1316258791, issued on Jun 30, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Roanoke, VA. The record was last updated on Jul 9, 2010.