Individual
DR. BRETT WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1211 LAKE AVE, 101, BERTHOUD, CO 80513-9380
(970) 532-2755
Mailing address
1211 LAKE AVE, 101, BERTHOUD, CO 80513-9380
(970) 532-2755
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
CHR.0007156
CO
Other
Enumeration date
04/08/2013
Last updated
10/29/2015
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