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Dr. Jerome Anthony Wisniew, DPM
Foot & Ankle Surgery Podiatrist in San Diego, California
NPI 1033128053

Jerome Anthony Wisniew is a Foot & Ankle Surgery Podiatrist based in San Diego, CA and is specialized in Foot & Ankle Surgery. Jerome Anthony Wisniew practices in San Diego, CA and has the professional credentials of DPM. The NPI Number for Jerome Anthony Wisniew is 1033128053 and holds a License No. E1630 (California).

The current practice location address for Jerome Anthony Wisniew is 2306 6Th Ave, San Diego, CA and can be reached out via phone at 619-232-0179. You can also correspond with Jerome Anthony Wisniew through the mailing address at 2705 28TH ST, SAN DIEGO, CA - 92104-4902 (mailing address contact number: 619-232-0179).

Location: 2306 6Th Ave, San Diego, CA, 92104-4902
person
Provider Profile Details
NPI Number
1033128053
Provider Name
Jerome Anthony Wisniew
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2306 6Th Ave, San Diego, CA, 92104-4902
Phone Number
619-232-0179
Fax Number
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E16300 05 CA
institution
Provider Business Practice Location Address Details
Address
2306 6Th Ave
City
State
Zip
92101-1643
Phone Number
619-232-0179
Fax Number
person
Provider Business Mailing Address Details
Address
2705 28Th St
City
State
Zip
92104-4902
Phone Number
619-232-0179
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E1630 (California)
Definition
Definition to come...
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