Individual
DR. JOHN ADAM WISNIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3416 ONEIDA ST, CHADWICKS, NY 13319-3405
(315) 737-9311
(315) 737-9311
Mailing address
3416 ONEIDA ST, CHADWICKS, NY 13319-3405
(315) 737-9311
(315) 737-9311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00696335
—
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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