Individual
MR. JOHN ROBERT WANSERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
9418 HILL CREEK DRIVE, VERONA, WI 53593-7977
(608) 845-6442
Mailing address
9418 HILL CREEK DRIVE, VERONA, WI 53593-7977
(608) 845-6442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124013-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35005300
—
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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