Organization
PAUL J WISNIEWSKI DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WISNIEWSKI (DO)
(407) 335-6950
Entity
Organization
Contact information
Practice address
18523 CORWIN RD STE A, APPLE VALLEY, CA 92307-2300
(909) 353-5285
(909) 752-8719
Mailing address
18523 CORWIN RD STE A, APPLE VALLEY, CA 92307-2300
(909) 353-5285
(909) 752-8719
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
10/31/2025
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