Individual
ALEXANDER SCOTT WISNYAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1708 E 29TH ST, ASHTABULA, OH 44004-5244
(440) 812-6625
Mailing address
1708 E 29TH ST, ASHTABULA, OH 44004-5244
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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