Dr JOHN D WISNESKI MD is a male medical professional, specializing in Family Medicine. He graduated in 2002 from University Of Colorado School Of Medicine.
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS
CO
811478329
Tel: 9707313700
| Npi | 1982699039 |
| Pac Id | 1355312844 |
| Professional Enrollment Id | I20040805001706 |
| Last Name | WISNESKI |
| First Name | JOHN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | GENERAL PRACTICE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL PRACTICE |
| Organization Legal Name | UPPER SAN JUAN HEALTH SERVICE DISTRICT |
| Group Practice Pac Id | 2769571892 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 95 S PAGOSA BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 811478329 |
| Phone Number | 9707313700 |
| Hospital Affiliation Ccn 1 | 061328 |
| Hospital Affiliation Lbn 1 | UPPER SAN JUAN HEALTH SERVICE DISTRICT |
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| Professional Accepts Medicare Assignment | Y |
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