Individual
MS. CHRISTINE ANN WISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T.R.
Contact information
Practice address
3400 BRIAR HL, FRUITPORT, MI 49415-9647
(231) 638-3078
Mailing address
3400 BRIAR HL, FRUITPORT, MI 49415-9647
(231) 638-3078
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RRT3305
NM
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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