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Deactivated NPI 1285165480 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Preston Wisner , MD

Pathology - Dermatopathology • Davis, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Wisner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2017
NPI Deactivation Date March 27, 2024
Total Practice Duration ~7 Years of Practice (2017 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wisner, MD was a registered Pathology - Dermatopathology practicing in Davis, CA. Throughout an active medical career spanning 7 years, Dr. Wisner provided care at the practice location at 716 ELMWOOD DR until profile deactivation on 2024-03-27.

Practice Location & Contact Primary Location

Practice Address

716 Elmwood Dr

Davis, CA 956163517

Telephone 5307563912

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Dermatopathology in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Davis, CA (55 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pathology - Dermatopathology Primary Specialty

NUCC Taxonomy Code: 207ZD0900X

State License CA A20741

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2024

Record deactivated on March 27, 2024

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 21, 2017

Registered at 716 ELMWOOD DR, DAVIS, CA 956163517 (Tel: 5307563912)

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Updated Business Mailing Address March 21, 2017

Registered at 716 ELMWOOD DR, DAVIS, CA 956163517 (Tel: 5307563912)

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Provider Name / Credentials Updated March 21, 2017

Recorded as ROBERT WISNER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Pathology (License #A20741 in CA)

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Initial NPI Registration & Enumeration March 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285165480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2017
Last Update: March 21, 2017
Deactivation Date: March 27, 2024

Mailing Address

716 Elmwood Dr

Davis, CA 956163517

Phone: 5307563912

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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