NPI 1093777500

Bradford Wisnousky, DO

Practitioner Emergency Medicine Physician Cedar Rapids, IA

Practice location

Address: 701 10th St SE, Cedar Rapids, IA 52403-1251
Phone: (319) 398-6297
Fax: (319) 398-6249
Mailing address: PO Box 5610, Cedar Rapids, IA 52406-5610

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 3300 (IA)

Other Emergency Medicine providers in Iowa →

Registry record

NPI: 1093777500
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2006
Record last updated: 30 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.