Dr. Mary L Wisniewski, MD
Pediatrics in Jacksonville, North Carolina
1548201890- Practice location
- 118 Memorial Dr, Jacksonville, NC 28546-6328
- Phone
- 910-353-0581
- Fax
- 910-577-1150
- Last updated
- November 6, 2023
Mary L Wisniewski is a Pediatrics based in Jacksonville, NC. Mary L Wisniewski practices in Jacksonville, NC and has the professional credentials of MD. The NPI Number for Mary L Wisniewski is 1548201890 and holds a License No. 2010-01227 (NC). The current practice location address for Mary L Wisniewski is 118 Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0581 and via fax at 910-577-1150.
Provider Profile Details
- NPI Number
- 1548201890
- Provider Name
- Mary L Wisniewski
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 118 Memorial Dr, Jacksonville, NC 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2006
- Last Update Date
- November 6, 2023
- Certification Date
- November 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 118 Memorial Dr
Jacksonville, NC 28546-6328 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-577-1150
Provider Business Mailing Address Details
- Address
- Po Box 986513
Department 100
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
- Fax Number
- 910-939-4269
License Information
- License Number
- 2010-01227
- License State
- NC
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Jacksonville, NC
View all Pediatrics providers in Jacksonville →Frequently Asked Questions
What is the NPI number of Dr. Mary L Wisniewski, MD?
The NPI number of Dr. Mary L Wisniewski, MD is 1548201890. It was assigned on June 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary L Wisniewski, MD?
Dr. Mary L Wisniewski, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NC under license number 2010-01227.
Where does Dr. Mary L Wisniewski, MD practice?
The practice location is 118 Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0581 (phone) or 910-577-1150 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548201890 directly on the NPPES registry website.