Individual
SARA ANN WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
916 S 10TH ST, WAUSAU, WI 54403-6502
(715) 570-8912
Mailing address
5110 CHADWICK ST, WESTON, WI 54476-3058
(715) 347-5059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196880
WI
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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