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Individual
SUSAN MARY WISNIEWSKI
Active
Individual
SUSAN MARY WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5971-26
WI
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05615103
BLUE CROSS BLUE SHIELD
IL
05
—
362264411001
—
IL
Enumeration date
02/27/2008
Last updated
08/12/2026
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