Individual
DR. PETER L WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
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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