Individual
MR. BRIAN GORDON WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
13000 W. BLUEMOUND ROAD, ELM GROVE, WI 53122
(262) 784-0063
(262) 784-0371
Mailing address
13000 W. BLUEMOUND ROAD, ELM GROVE, WI 53122
(262) 784-0063
(262) 784-0371
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1356-60
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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