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Contact Information

IAN R WISECARVER, MD
4251 HOHE ST
HOMER, AK99603-7010
 Phone: 907-226-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IAN R WISECARVER · (Male)

NPI Number 1437648698
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2018
Last updated 01/07/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 219197
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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