Individual
SUSAN ROSE VISHNESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4859
(336) 716-2255
Mailing address
PO BOX 307, NEPTUNE, NJ 07754-0307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2015-02177
NC
207L00000X
Anesthesiology Physician
25MA10337100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2013
Last updated
11/01/2019
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