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

Michael R Wisser, DO

Individual provider Family Medicine Physician · NPI 1386676617

Michael R Wisser, DO is a Family Practice in Glen Mills, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 1997, 29 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

145 Brinton Lake Rd First Fl
Glen Mills, PA 19342-2281
Phone: (610) 459-1619
Fax: (610) 459-1865
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS009968L (PA)

Record details

NPI number1386676617
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESAugust 31, 2015
Mailing address145 Brinton Lake Road, First Floor, Glen Mills, PA 19342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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