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1508896614
JEFFREY J. WISNIEWSKI
ALPENA, MI
NPI
1508896614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003807)
Enumeration Date
2006-07-04
Last Update Date
2014-07-25
Business Address
-- JEFFREY J. WISNIEWSKI P.A.C.
1501 W CHISHOLM ST
ALPENA, MI 49707-1401
Phone number: 989-356-7390
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Mailing Address
-- JEFFREY J. WISNIEWSKI P.A.C.
1014 SIXTH ST STE. 103
TRAVERSE CITY, MI 49684-2381
Phone number: 989-340-1211
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