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Steven John Wisniewski, MD
Internal Medicine Physician in Gaylord, Michigan
NPI 1104851658

Steven John Wisniewski is a Internal Medicine Physician based in Gaylord, MI. Steven John Wisniewski practices in Gaylord, MI and has the professional credentials of MD. The NPI Number for Steven John Wisniewski is 1104851658 and holds a License No. 430150548 (Michigan).

The current practice location address for Steven John Wisniewski is 829 N Center Ave, Gaylord, MI and can be reached out via phone at 989-731-7870 and via fax at 989-731-7837.

Location: 829 N Center Ave, Gaylord, MI, 49735-8253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104851658
Provider Name
Steven John Wisniewski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
829 N Center Ave, Gaylord, MI, 49735-8253
Phone Number
989-731-7870
Fax Number
989-731-7837
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
381303843 01 TAX ID
4619513 05 MI
11292239 01 CAQH PROVIDER ID
0F96004016 01 MI MEDICARE PTAN
1101507782 01 MI BCBSM PROVIDER NUMBER
CC4805 01 MEDICARE RR PROV ID
institution
Provider Business Practice Location Address Details
Address
829 N Center Ave
City
Gaylord
State
Michigan
Zip
49735-1595
Phone Number
989-731-7870
Fax Number
989-731-7837
person
Provider Business Mailing Address Details
Address
829 N Center Ave
City
Gaylord
State
Michigan
Zip
49735-1595
Phone Number
989-731-7870
Fax Number
989-731-7837
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
4301050548 (Michigan)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
430150548 (Michigan)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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