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Individual

DR. RONALD J WISNESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 SAVANNAH RD, SUITE B, LEWES, DE 19958-1550
(302) 645-2805
(302) 645-1164
Mailing address
701 SAVANNAH RD, SUITE B, LEWES, DE 19958-1550
(302) 645-2805
(302) 645-1164

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35095773
OH
207X00000X
Orthopaedic Surgery Physician
ME89533
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3098213
OH
Enumeration date
12/05/2005
Last updated
01/07/2013
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