Individual
CARY D WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 GREEN ROAD, SUITE 100, ANN ARBOR, MI 48105
(734) 995-3764
(208) 475-9028
Mailing address
2000 GREEN ROAD, SUITE 100, ANN ARBOR, MI 48105
(734) 995-3764
(208) 475-9028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001181
MI
Other
Enumeration date
07/17/2006
Last updated
11/08/2007
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