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1093777500
BRADFORD WISNOUSKY
CEDAR RAPIDS, IA
NPI
1093777500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IA 3300)
Enumeration Date
2006-04-03
Last Update Date
2007-10-30
Business Address
BRADFORD WISNOUSKY DO
701 10TH ST SE
CEDAR RAPIDS, IA 52403-1251
Phone number: 319-398-6297
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Mailing Address
BRADFORD WISNOUSKY DO
PO BOX 5610
CEDAR RAPIDS, IA 52406-5610
Phone number: 319-369-4505
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