Individual
ALEXANDER MICHAEL WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST # 800719, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2150
(434) 924-6805
Mailing address
1215 LEE ST # 800719, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2150
(434) 924-6805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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