Individual
KATIE ANNE WISZOWATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 9TH AVE S, BIRMINGHAM, AL 35233-1124
(727) 458-9854
Mailing address
1771 DIXON CIR, MOUNT OLIVE, AL 35117-3053
(727) 458-9854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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