DR. ROBERT PRESTON WISNER


Address: 716 Elmwood Dr, Davis, CA 95616-3517
Phone: 5307563912

DR. ROBERT PRESTON WISNER (NPI# 1285165480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285165480
Entity Type Individual
Full Name DR. ROBERT PRESTON WISNER
Credential M.D.
Practice Address 716 Elmwood Dr
Davis
CA 95616-3517
Practice Telephone 5307563912
Mailing Telephone 5307563912
Enumeration Date 2017-03-21
Last Update Date 2017-03-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZD0900X Pathology
Specialization: Dermatopathology
A20741 CA Allopathic & Osteopathic Physicians

Other Providers ROBERT WISNER

NPI Name Taxonomy Address Enumeration
1902876154 Robert R Wisner Jr. Physician Assistant 955 Bucyrus Rd, Galion, OH 44833 2006-01-23

Office Location

Street Address 716 ELMWOOD DR
City DAVIS
State CA
Zip Code 95616-3517

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1851935217 Timothy James Johnston Orthotist 635 Anderson Rd., Suite 18, Davis, CA 95616 2019-10-29
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1366908618 Capitol Periodontal Group Dentist 750 F Street #5, Davis, CA 95616 2019-02-12
1831663434 Elisha Niccole Cusumano Specialist/Technologist 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 2019-01-16
1609364991 Aron Matthew Katz Psychologist One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 2018-04-23
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Taxonomy Information

Taxonomy Code 207ZD0900X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124386032 Sepehr Hamidi Pathology 10833 Le Conte Ave # 255-c, Los Angeles, CA 90095 2012-04-27
1700175684 Yuna Kang Pathology 10833 Le Conte Ave Rm B186, Los Angeles, CA 90095 2011-03-31
1760656169 Michelle Cathleen Hure Pathology 31899 Del Obispo St Ste 130, San Juan Capistrano, CA 92675-3234 2008-04-16
1700074143 Salma Dabiri Pathology 100 Albright Way, Suite C, Los Gatos, CA 95032-1837 2007-10-10
1083817548 Matthew Russell Muenster Pathology 1921 N Gateway Blvd Ste 101, Fresno, CA 93727-1679 2007-06-11
1215051669 Roupen Yaghsezian Pathology 22632 Ocean Way, Laguna Niguel, CA 92677-5436 2007-03-19
1154451243 Hugh Randolph Byers Pathology 3701 S Higuera St Ste 200, San Luis Obispo, CA 93401-7462 2007-03-07
1184750952 Rajni Valli Mandal Pathology 1122 E Acacia Ave, Glendale, CA 91205-2536 2007-02-26
1912096413 Lloyd D Smith Jr. Pathology 961 N Emerald, #d, Modesto, CA 95351-1556 2006-10-12
1730114521 Frank Feng Luo Pathology 1180 Laurel St, Pasadena, CA 91103-2329 2006-07-11
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Competitor

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City DAVIS
Zip Code 95616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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