OLIVER JAYME WISCO

BEND, OR
NPI1164545166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: RI  DO01032)
Additional Taxonomies207N00000X Dermatology
(Licence: HI  DOS-1007)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: MA  243103)
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: OR  DO157812)
Enumeration Date2007-04-06
Last Update Date2020-08-11
Business Address
Dr. OLIVER JAYME WISCO D.O.
DERMATOLOGY HEALTH SPCECIALIST 1693 SW CHANDLER AVE SUITE 250
BEND, OR 97702-3231
Phone number: 541-382-8819
Mailing Address
Dr. OLIVER JAYME WISCO D.O.
110 ELM ST
PROVIDENCE, RI 02903-4626
Phone number: 401-443-4992