Individual
DR. ZACHARY WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1140 S BELSAY RD, BURTON, MI 48509-1909
(810) 744-0433
Mailing address
594 ANNE AVE, BRIGHTON, MI 48116-3504
(810) 623-7006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600111
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2019
Last updated
09/18/2023
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