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1770652810
MARY L WISNIEWSKI
GRAND RAPIDS, MI
NPI
1770652810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003060)
Enumeration Date
2006-11-06
Last Update Date
2023-03-07
Business Address
-- MARY L WISNIEWSKI PA-C
1925 BRETON RD SE
GRAND RAPIDS, MI 49506-4810
Phone number: 616-252-4100
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Mailing Address
-- MARY L WISNIEWSKI PA-C
1925 BRETON RD SE
GRAND RAPIDS, MI 49506-4810
Phone number: 616-252-4100
Copy
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