Bradley Wisowaty
NPI #1306229562 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1306229562
- Entity Type
- Individual
- Name
- Bradley Wisowaty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 7, 2015
- Last Updated
- Nov 27, 2018
Practice Location
- Address
- 809 WALL ST STE A
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2571
- Phone
- (219) 464-9681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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