| Dr Gary Royce Wisner, MD | |
|
621 S Ham Ln Ste A, Lodi, CA 95242-3533 | |
| (209) 368-7777 | |
| (209) 368-7778 |
| Full Name | Dr Gary Royce Wisner |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 621 S Ham Ln Ste A, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528175841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A41236 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Royce Wisner, MD 621 S Ham Ln Ste A, Lodi, CA 95242-3533 Ph: (209) 368-7777 | Dr Gary Royce Wisner, MD 621 S Ham Ln Ste A, Lodi, CA 95242-3533 Ph: (209) 368-7777 |
Thomas Peter Mckenzie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 924 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-2590 | |
Kevin Richard Hilton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-334-2109 | |
Mr. Roland Yoshito Nakata, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 815 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-1884 Fax: 209-333-1885 | |
Dr. Darryl Kitayama, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2080 Sylvan Way, #1101, Lodi, CA 95242 Phone: 209-481-1699 |