Individual
DR. PHILIP C WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FAGD, PC
Contact information
Practice address
291 W LAKEWOOD BLVD, HOLLAND, MI 49424-1969
(616) 396-9583
(616) 396-8347
Mailing address
291 W LAKEWOOD BLVD, HOLLAND, MI 49424-1969
(616) 396-9583
(616) 396-8347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16021
MI
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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