Individual provider · Type 1 NPI

Nicole M. Wisniewski, PA-C

Medical Physician Assistant · Manistee, MI

NPI number 1992960033 Active

Practice location

1465 E Parkdale Ave
Manistee, MI 49660-9709

Call (231) 398-1000 Map

Fax (989) 340-1214

Mailing address

10850 E Traverse Hwy, Suite 4400
Traverse City, MI 49684-1364

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005972 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1992960033

Nicole M. Wisniewski, PA-C's National Provider Identifier is 1992960033, issued on Jul 28, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manistee, MI. The record was last updated on Oct 28, 2016.