Glenn John Wisnieski, DDS

NPI #1275658056 in Walkerton, Indiana

Provider Information

NPI Number
1275658056
Entity Type
Individual
Name
Glenn John Wisnieski, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
409 ROOSEVELT RD
State
Indiana
ZIP Code
46574
Phone
(574) 586-3242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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