Individual
DR. KENNETH JAMES WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3339 S 16TH ST, MILWAUKEE, WI 53215-4901
(414) 645-2020
Mailing address
3339 S 16TH ST, MILWAUKEE, WI 53215-4901
(414) 645-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2072G
WI
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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