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Individual
JOSEPH WISNIESKI
Active
Individual
JOSEPH WISNIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1227100
WV
363A00000X
Physician Assistant
Primary
3068
WV
Other
Enumeration date
05/27/2025
Last updated
04/07/2026
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