BRADFORD WISNOUSKY

CEDAR RAPIDS, IA
NPI1093777500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IA  3300)
Enumeration Date2006-04-03
Last Update Date2007-10-30
Business Address
-- BRADFORD WISNOUSKY DO
701 10TH ST SE
CEDAR RAPIDS, IA 52403-1251
Phone number: 319-398-6297
Mailing Address
-- BRADFORD WISNOUSKY DO
PO BOX 5610
CEDAR RAPIDS, IA 52406-5610
Phone number: 319-369-4505