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Search › Michigan › 363A00000X

Mary Wisniewski, PA-C

NPI 1770652810 · on the registry since 2006

Practice

Address
1925 Breton Rd Se
Grand Rapids, MI 49506
Phone
(616) 252-4100
Organisation at this address
Ptsportspro, Pllc
Metropolitan Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-07

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