PETER F WISNIEWSKI DO

Dr PETER F WISNIEWSKI DO is a male medical professional, specializing in Emergency Medicine. He graduated in 1972.

Contact

518 W DR
FAMILY MEDICAL CAVE
OKOLONA
MS
388601625

Tel: 6624471339

PETER F WISNIEWSKI DO Information

Npi 1548231269
Pac Id 1759348725
Professional Enrollment Id I20070207000237
Last Name WISNIEWSKI
First Name PETER
Middle Name F
Suffix
Gender M
Credential DO
Medical School Name OTHER
Graduation Year 1972
Primary Specialty EMERGENCY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 518 W DR
Line 2 Street Address FAMILY MEDICAL CAVE
Marker Of Address Line 2 Suppression
City OKOLONA
State MS
Zip Code 388601625
Phone Number 6624471339
Hospital Affiliation Ccn 1 250017
Hospital Affiliation Lbn 1 TRACE REGIONAL HOSP AND SWING BED
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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