Individual
DR. STANLEY J. WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8191 JENNIFER LN, 150, OWINGS, MD 20736-3194
(443) 964-5159
(443) 964-5149
Mailing address
3691 CHANEYVILLE RD, OWINGS, MD 20736-9134
(410) 257-0215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0062090
MD
Other
Enumeration date
08/05/2006
Last updated
10/03/2012
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