Mark Wisnieske, D.C.

NPI #1174883094 in Montgomery, Texas

Provider Information

NPI Number: 1174883094
Entity Type: Individual
Name: Mark Wisnieske, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 24, 2012
Last Updated: May 24, 2012

Practice Location

Address: 18445 HIGHWAY 105 W
Address 2: SUITE 100
City: Montgomery
State: Texas
ZIP Code: 77356-6064
Phone: (936) 448-2283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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