Individual
ROBERT WISNEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
103 E HILL AVE, GALLUP, GALLUP, NM 87301-6257
(505) 863-8018
Mailing address
3415 SILVER AVE SE, ALBUQUERQUE, NM 87106-1438
(505) 265-5087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
939
NM
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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