Jerome J Wisneski, MD

NPI #1376870550 in Grand Rapids, Michigan

Provider Information

NPI Number: 1376870550
Entity Type: Individual
Name: Jerome J Wisneski, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Nov 10, 2009
Last Updated: Nov 10, 2009

Practice Location

Address: 2338 LAKE MICHIGAN DR NW
City: Grand Rapids
State: Michigan
ZIP Code: 49504-5969
Phone: (616) 453-7898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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