Individual
MR. JOSHUA WISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-1000
Mailing address
707 PRUDDEN ST UNIT 133, LANSING, MI 48906-5386
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704321248
MI
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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