Bradford Wisnousky DO

NPI 1093777500 - Emergency Medicine - 207P00000X

NPI Details
NPI 1093777500
Gender Male
Enumeration Date 04/03/2006
Last Updated 10/30/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
701 10TH ST SE
CEDAR RAPIDS IA, 52403-1251, US
Phone (319) 398-6297
Fax (319) 398-6249
Business Location
PO BOX 5610
CEDAR RAPIDS IA, 52406-5610, US
Phone (319) 369-4505
Fax (319) 369-4677
Taxonomy Code 207P00000X
License State Iowa
License Number 3300
Remove 1093777500 NPI Number

According to our database, Bradford Wisnousky DO NPI is 1093777500, taxonomy code is 207P00000X and license number is 3300, license state is located at Iowa. Bradford Wisnousky DO physically located at 701 10th St Se, Cedar Rapids IA, 52403-1251. NPI Number Bradford Wisnousky DO has the Individual type.

1093777500 NPI number is provided on an as is basis without warranty of any kind. 1093777500 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford Wisnousky DO are for informational purposes only.