Individual
MICHAEL JOHN NISIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S. LIMESTONE, CTW 304, LEXINGTON, KY 40536
(859) 323-2834
Mailing address
900 S. LIMESTONE, CTW 304, LEXINGTON, KY 40536
(859) 323-2834
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/24/2021
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