Individual
DR. PETER L WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D40370
MD
207RP1001X
Pulmonary Disease Physician
D40370
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110108206
RAILROAD MEDICARE
MD
01
—
2148224
AETNA HMO PCP
MD
01
—
2154481
AETNA HMO SPECIALIST
MD
01
—
436794
MAMSI HMO SPECIALIST
MD
01
—
4461101
AETNA NON-HMO PCP
MD
01
—
52585801
CAREFIRST OF MARYLAND
MD
05
—
762771800
—
MD
01
—
7720001
AETNA NON-HMO SPECIALIST
MD
01
—
836794
MAMSI HMO PCP
MD
01
—
C0410016
CAREFIRST OF DC
DC
Enumeration date
01/10/2007
Last updated
02/21/2019
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