Individual
DR. JOHN MICHAEL WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 1ST ST, CONEMAUGH, PA 15909-1906
(814) 535-7721
(814) 535-2105
Mailing address
340 1ST ST, CONEMAUGH, PA 15909-1906
(814) 535-7721
(814) 535-2105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012353890004
—
PA
01
—
0487180000
INDENPENDANCE BLUE SHEILD
PA
01
—
101310
UPMC HEALTHPLAN
—
01
—
110082629
RAILROAD MEDICARE
—
01
—
1526828
GATEWAY HEALTHPLAN
—
01
—
327740
HEALTH AMERICA
—
01
—
5317328
AETNA
—
01
—
654889
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/13/2007
Last updated
06/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us