Individual
DR. MARK LLOYD WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1307 W 3RD ST, #B, GILLETTE, WY 82716-3343
(801) 707-1874
Mailing address
1307 W 3RD ST, #B, GILLETTE, WY 82716-3343
(801) 707-1874
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
7134A
WY
Other
Enumeration date
12/26/2006
Last updated
01/15/2015
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