Canonical ID: NK-XiDu9NqFkgrKDL4kjquWdZ
· Entity type: Person
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
Person:address | 16246 North Locust Tree Road, Lodi, CA, 95240 | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:country | us | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:firstName | Gary | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:id | 0abd9d0d4f70ea70e4fccc185fe1b638ae8ce28a | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:lastName | Wisner | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:middleName | Royce | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:name | Gary Royce Wisner | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:npiCode | 1528175841 | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:registrationNumber | A 41236 | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:registrationNumber | 00A412360 | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:sector | Physician | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 | |||
Person:topics | debarment | eng | us_ca_med_exclusions | us-medca-344a59fdc60641ca3b119faf878fb573683cc653 |