DR. Melissa Marie Wisniewski, OD

NPI #1437191491 in Marion, Illinois

Provider Information

NPI Number: 1437191491
Entity Type: Individual
Name: DR. Melissa Marie Wisniewski, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2401 W MAIN ST
City: Marion
State: Illinois
ZIP Code: 62959-1188
Phone: (618) 997-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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