NPI 1750834404

Zachary Wissman, PA

Practitioner Physician Assistant Coopers Mills, ME

Practice location

Address: 47 Main St, Coopers Mills, ME 04341-0207
Phone: (207) 549-7581
Fax: (207) 549-3439
Mailing address: 47 Main St PO Box 207, Coopers Mills, ME 04341-0207

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1620 (ME)

Other Physician Assistant providers in Maine →

Registry record

NPI: 1750834404
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2016
Record last updated: 29 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.