Individual provider · Type 1 NPI
Jerome Anthony Wisniew, DPM
Foot & Ankle Surgery Podiatrist · San Diego, CA
NPI number
1033128053
Active
Practice location
2306 6th Ave
San Diego, CA 92101-1643
Mailing address
2705 28th St
San Diego, CA 92104-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E1630 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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About NPI 1033128053
Jerome Anthony Wisniew, DPM's National Provider Identifier is 1033128053, issued on Aug 7, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Diego, CA. The record was last updated on May 15, 2024.