Male or Other

Raymond A. Wiser

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Raymond Arthur Wiser

NPI Number

1619072584

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/14/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9103227

Contact
Information

Purpose

Mailing
Location

Address

6520 FORT CAROLINE RD
1215 DUNN AVE

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32277-2044
32218-6330

Country

US
US

Telephone Number

(904) 745-3618
(904) 757-1998

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/17/2014

Provider Address

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