Robert J Wissner, DO | |
1100 22nd St Se, Salem, OR 97302-6558 | |
(503) 967-6771 | |
(503) 385-8421 |
Full Name | Robert J Wissner |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 1100 22nd St Se, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306374210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | DO214552 (Oregon) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | DO214552 (Oregon) | Primary |
Entity Name | Salem Pain And Spine Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124316567 PECOS PAC ID: 3072780089 Enrollment ID: O20120113000808 |
Mailing Address | Practice Location Address |
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Robert J Wissner, DO 1100 22nd St Se, Salem, OR 97302-6558 Ph: (503) 967-6771 | Robert J Wissner, DO 1100 22nd St Se, Salem, OR 97302-6558 Ph: (503) 967-6771 |
Kristie Lyn Brock, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1750 Mcgilchrist St Se Ste 130, Salem, OR 97302 Phone: 971-304-2200 | |
Dr. Rebeca M Monreal, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1100 22nd St Se, Salem, OR 97302 Phone: 503-967-6771 Fax: 503-385-8421 | |
Jorge Carlos Cuza, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-561-5200 | |
Ms. John Kimball Farris, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3270 Liberty Rd. S., Salem, OR 97302 Phone: 503-371-0779 Fax: 503-371-0886 | |
Kelsey Jane Anderson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 820 Cottage St Ne, Salem, OR 97301 Phone: 919-616-3381 | |
Miss Chandree Leigh Van Vranken, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 820 Cottage St Ne, Salem, OR 97301 Phone: 518-859-6344 |