Individual
DR. CASEY WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5601 W SLAUSON AVE STE 186, CULVER CITY, CA 90230-6538
(310) 342-0422
Mailing address
2365 GLENDALE BLVD APT 17, LOS ANGELES, CA 90039-3261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33807
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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