Individual
DR. JOSEPH MARION WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 MACKEY BRANCH DR, STE 114, CHATTANOOGA, TN 37421-3483
(423) 468-3267
(423) 468-3270
Mailing address
12742 HIGHWICK CIR, KNOXVILLE, TN 37934-8105
(865) 776-3733
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28883
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I112249
MEDICARE PTAN
TN
Enumeration date
09/13/2005
Last updated
03/28/2019
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