Individual
MR. VINCENT LISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
Mailing address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28238020A
IN
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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