STEPHANIE A WISHNEV MD LTD
Medical Practice at Maryland Pkwy, Las Vegas, NV

License number
Nevada 8168
Category
Medical Practice
Type
Specialist
Owner
Name: STEPHANIE A WISHNEV MD
Title: OWNER
Phone: (702) 739-6467
Address
Address 2
3121 S Maryland Pkwy STE 600, Las Vegas, NV 89109
PO Box 50607, Henderson, NV 89016
National Provider ID: 1891735304
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Stephanie A. Wishnev, M.D., Ltd

6170 W Lk Mead Blvd, Las Vegas, NV 89108

Status:
Inactive
Doing business as:
Stephanie A. Wishnev, M.D., Ltd. C/O President
Registration:
Jan 18, 2002
State ID:
C1489-2002
Business type:
Domestic Professional Corporation
S:
Stephanie A. Wishnev (Director, President, Secretary, Treasurer),Stephanie A. Wishnev, M.d., Ltd inactive
Agent:
Stephanie A. Wishnev, M.d., Ltd. C/O President

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