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

Mr. Edwin George Wisner, AT

Individual provider Athletic Trainer · NPI 1811090418

Mr. Edwin George Wisner, AT is an Athletic Trainer in Bellefontaine, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
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Practice location Address checks out

2200 Timber Trl
Bellefontaine, OH 43311-9039
Phone: (937) 592-1625
Fax: (937) 592-3489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT577 (OH)

Record details

NPI number1811090418
Entity typeIndividual (Type 1)
GenderMale
Credentials AT
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESMay 13, 2016
Mailing address711 Rush Ave, Bellefontaine, OH 43311

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