Individual
MS. MARY KAE WISINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13700 W NATIONAL AVE, NEW BERLIN, WI 53151-9521
(262) 797-4600
(262) 797-4616
Mailing address
1256 RIVERTON DR, MUKWONAGO, WI 53149-1054
(262) 363-2566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6041024
WI
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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