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Individual

PAUL JOHN WISNIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
18523 CORWIN RD STE A, APPLE VALLEY, CA 92307-2300
(909) 353-5285
Mailing address
18523 CORWIN RD STE A, APPLE VALLEY, CA 92307-2300
(909) 712-2764
(909) 752-8719

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20A9062
CA
2086S0102X
Surgical Critical Care Physician
Primary
CA209062
CA
2086S0102X
Surgical Critical Care Physician
DO034774
DC
2086S0102X
Surgical Critical Care Physician
OS 12023
FL

Other

Enumeration date
06/30/2008
Last updated
10/31/2025
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