Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Wisnousky, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154005742

Holly Wisnousky, MD is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 E Medical Center Dr Tc B1380
Ann Arbor, MI 48109-5305
Phone: (734) 763-7919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351050741 (MI)

Record details

NPI number1154005742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 13, 2023

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