Individual
DR. LEANNE M WISNIEWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27332 WOODWARD AVE, SUITE 100, ROYAL OAK, MI 48067-0927
(248) 543-1545
(246) 543-8638
Mailing address
27332 WOODWARD AVE, SUITE 100, ROYAL OAK, MI 48067-0927
(248) 543-1545
(246) 543-8638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101013066
MI
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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