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Mary L Wisniewski, PA-C
Physician Assistant in Grand Rapids, Michigan
NPI 1770652810

Mary L Wisniewski is a Physician Assistant based in Grand Rapids, MI. Mary L Wisniewski practices in Grand Rapids, MI and has the professional credentials of PA-C. The NPI Number for Mary L Wisniewski is 1770652810 and holds a License No. 5601003060 (Michigan).

The current practice location address for Mary L Wisniewski is 1925 Breton Rd Se, Grand Rapids, MI and can be reached out via phone at 616-252-4100.

Location: 1925 Breton Rd Se, Grand Rapids, MI, 49506-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770652810
Provider Name
Mary L Wisniewski
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1925 Breton Rd Se, Grand Rapids, MI, 49506-4810
Phone Number
616-252-4100
Fax Number
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601003060 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1925 Breton Rd Se
City
Grand Rapids
State
Michigan
Zip
49506-4810
Phone Number
616-252-4100
Fax Number
person
Provider Business Mailing Address Details
Address
1925 Breton Rd Se
City
Grand Rapids
State
Michigan
Zip
49506-4810
Phone Number
616-252-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601003060 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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