Individual
MRS. KIMBERLY WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5253 SUNCREEK COURT, WASHINGTON TWP, MI 48094
(586) 665-4841
Mailing address
5253 SUNCREEK COURT, WASHINGTON TWP, MI 48094
(586) 665-4841
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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