Individual
ANDREW SCOTT FREEMAN WYOSNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4910 25TH AVE, KENOSHA, WI 53140-5833
(262) 515-6190
Mailing address
4910 25TH AVE, KENOSHA, WI 53140-5833
(262) 515-6190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
185703-30
WI
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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