Individual
DR. KEVIN S. WIANECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2290 COUNTY HIGHWAY X, SUITE B, MOSINEE, WI 54455
(715) 693-3170
Mailing address
786 OAK RD, MOSINEE, WI 54455-8044
(715) 693-3170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3593-12
WI
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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