# MIA WALISZEWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629693718
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD60004299 | DC | Yes |
| 208600000X | Surgery Physician | LL84448 | SC | — |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 07/21/2025