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1396772190
JERRY A WISHIK
BRANDON, FL
NPI
1396772190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0037455)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. JERRY A WISHIK M.D.
620 VONDERBURG DR
BRANDON, FL 33511-5971
Phone number: 813-684-1777
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Mailing Address
Dr. JERRY A WISHIK M.D.
620 VONDERBURG DR
BRANDON, FL 33511-5971
Phone number: 813-684-1777
Copy
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