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1851411607
EDWARD WISNIEWSKI
DETROIT, MI
NPI
1851411607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001769)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
EDWARD WISNIEWSKI PA-C
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
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Mailing Address
EDWARD WISNIEWSKI PA-C
6071 W OUTER DR SGR
DETROIT, MI 48235
Phone number: 313-578-2245
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