Individual
PIOTR WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4209
(910) 450-3238
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4209
(910) 450-3238
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
Primary
A152188
CA
207RI0200X
Infectious Disease Physician
2023-01941
NC
207RI0200X
Infectious Disease Physician
A152188
CA
Other
Enumeration date
06/03/2016
Last updated
08/08/2025
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