DR. Stanley J. Wisniewski, M.D.

NPI #1205845799 in Owings, Maryland

Provider Information

NPI Number: 1205845799
Entity Type: Individual
Name: DR. Stanley J. Wisniewski, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 5, 2006
Last Updated: Oct 3, 2012

Practice Location

Address: 8191 JENNIFER LN
Address 2: 150
City: Owings
State: Maryland
ZIP Code: 20736-3194
Phone: (443) 964-5159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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