Individual
JOSEPH WISNIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(714) 702-4052
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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