MICHAEL TYLER WIISANEN

MAYWOOD, IL
NPI1215190525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125053372)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
Dr. MICHAEL TYLER WIISANEN M.D.
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9169
Mailing Address
Dr. MICHAEL TYLER WIISANEN M.D.
870 N ORLEANS ST APT 3
CHICAGO, IL 60610-3029
Phone number: 701-610-1999
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