KEITH WAYNE WISNIEWSKI

LUBBOCK, TX
NPI1588792741
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: TX  M5588)
Enumeration Date2007-03-01
Last Update Date2020-06-05
Business Address
Dr. KEITH WAYNE WISNIEWSKI M.D.
2202 ITHACA AVE
LUBBOCK, TX 79410-1332
Phone number: 806-797-1202
Mailing Address
Dr. KEITH WAYNE WISNIEWSKI M.D.
2202 ITHACA AVE
LUBBOCK, TX 79410-1332
Phone number: 806-797-1202
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