Individual
WLODZIMIERZ WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-5180
Mailing address
14 PINEHURST MANOR, SUITE 14B, PINEHURST, NC 28374
(910) 715-5180
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-097418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-097418
—
IL
Enumeration date
06/12/2006
Last updated
07/08/2007
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