Individual
JAYSON WIERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 CHESTNUT ST, WISCONSIN RAPIDS, WI 54494-5567
(715) 451-5404
Mailing address
2301 CHESTNUT ST, WISCONSIN RAPIDS, WI 54494-5567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001280-15
WI
Other
Enumeration date
05/15/2023
Last updated
07/10/2023
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