Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Royce Wisner, MD

Individual provider Orthopaedic Surgery Physician · NPI 1528175841

Dr. Gary Royce Wisner, MD is an Orthopaedic Surgery Physician in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

621 S Ham Ln Ste A
Lodi, CA 95242-3533
Phone: (209) 368-7777
Fax: (209) 368-7778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A41236 (CA)

Record details

NPI number1528175841
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2006
Last updated in NPPESMay 14, 2008
Mailing address621 S Ham Ln Ste A, Lodi, CA 95242-3533

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