EDWARD WISNIEWSKI

DETROIT, MI
NPI1851411607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001769)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
EDWARD WISNIEWSKI PA-C
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
Mailing Address
EDWARD WISNIEWSKI PA-C
6071 W OUTER DR SGR
DETROIT, MI 48235
Phone number: 313-578-2245
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