Individual
DR. PAUL EDWARD VISNESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
694 GOOD DR, SUITE 112, LANCASTER, PA 17601-2433
(717) 397-8177
Mailing address
694 GOOD DR, SUITE 112, LANCASTER, PA 17601-2433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS004412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649205
—
PA
Enumeration date
10/04/2005
Last updated
02/27/2008
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