Individual
DR. JASON ROMAN WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
500 N RAINBOW BLVD STE 300-307, LAS VEGAS, NV 89107-1082
(888) 495-4489
(602) 865-8090
Mailing address
7620 E MCKELLIPS RD STE 4-225, SCOTTSDALE, AZ 85257-4600
(480) 687-4164
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2016
NV
Other
Enumeration date
05/13/2007
Last updated
02/18/2019
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