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1376870550
JEROME J WISNESKI
GRAND RAPIDS, MI
NPI
1376870550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301027855)
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
-- JEROME J WISNESKI MD
2338 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-5969
Phone number: 616-453-7898
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Mailing Address
-- JEROME J WISNESKI MD
2338 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-5969
Phone number: 616-453-7898
Copy
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