Individual
MR. ANTHONY WILLIAM WASIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
1370 MULHOLLAND ST, NAUVOO, IL 62354-1010
(217) 453-6802
(217) 453-2149
Mailing address
1370 MULHOLLAND ST, NAUVOO, IL 62354-1010
(217) 453-6802
(217) 453-2149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
151104
MO
363LF0000X
Family Nurse Practitioner
Primary
209013628
IL
Other
Enumeration date
02/15/2008
Last updated
05/09/2016
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