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Nicolle Kahl Wisniewski, MPAS,PA-C
Surgical Physician Assistant in Fairbanks, Alaska
NPI 1871579961

Nicolle Kahl Wisniewski is a Surgical Physician Assistant based in Fairbanks, AK and is specialized in Surgical. Nicolle Kahl Wisniewski practices in Fairbanks, AK and has the professional credentials of MPAS,PA-C. The NPI Number for Nicolle Kahl Wisniewski is 1871579961 and holds a License No. 1000 (Alaska).

The current practice location address for Nicolle Kahl Wisniewski is 1001 Noble St, Fairbanks, AK and can be reached out via phone at 907-459-3500 and via fax at 907-458-2653.

Location: 1001 Noble St, Fairbanks, AK, 99701-5937
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Provider Profile Details
NPI Number
1871579961
Provider Name
Nicolle Kahl Wisniewski
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
1001 Noble St, Fairbanks, AK, 99701-5937
Phone Number
907-459-3500
Fax Number
907-458-2653
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
991491900 05 MN
1575427 05 AK
institution
Provider Business Practice Location Address Details
Address
1001 Noble St
City
State
Zip
99701-4922
Phone Number
907-459-3500
Fax Number
907-458-2653
person
Provider Business Mailing Address Details
Address
1001 Noble St
City
State
Zip
99701-4922
Phone Number
907-459-3500
Fax Number
907-458-2653
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9868 (Minnesota)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1000 (Alaska)
Definition
Definition to come...
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