IndividualActive
Andrew Wisnowski, PHARMD
NPI 1093051856 · Pharmacist · Lake Geneva, WI
Provider details
- NPI number
- 1093051856
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 16310-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
351 N Edwards Blvd
Lake Geneva, WI 53147-4563
Phone: (262) 248-7885
Approximate (ZIP-level) locationGet directions
Mailing address
706 N 3rd Ct
Silver Lake, WI 53170-1433
Registry dates
- Enumerated
- 2012-12-26
- Last updated
- 2012-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.