Individual
ANDREW WISNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Mailing address
706 N 3RD CT, SILVER LAKE, WI 53170-1433
(262) 470-7140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16310-40
WI
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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