Search › Michigan › 104100000X
Carmen Wisniewski
NPI 1427404482 · on the registry since 2016
Practice
- Address
- 2805 Pontiac Lake Rd
Waterford, MI 48328 - Phone
- (248) 209-2406
- Fax
- (248) 209-2466
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan