John D Wisneski in Pagosa Springs - Family Medicine

John D Wisneski - NPI 1982699039

John D Wisneski is a Family Medicine in Pagosa Springs, Colorado. John D Wisneski practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John D Wisneski is 1982699039. The last update date is 2017-02-16.

John D Wisneski's current location address is 95 S Pagosa Blvd, Pagosa Springs, Colorado. You can contact this provider via phone number 9707313700 and fax number 9707313707. The mailing address for John D Wisneski is 95 S Pagosa Blvd, Pagosa Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name John D Wisneski
Address 95 S Pagosa Blvd, Pagosa Springs, Colorado
Phone Number 9707313700
Fax Number 9707313707
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1982699039
Provider Enumeration Date 2005-09-14
Last Updated Date 2017-02-16

Provider Mailing Address Detail

Address 95 S Pagosa Blvd
City Pagosa Springs
State Colorado (CO)
Post Code 811478329
Phone Number 9707313700
Fax Number 9707313707

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD20130017
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
75851211 CO --

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FAQs about John D Wisneski

What is the unique 10-digit identifier code assigned to John D Wisneski by the Centers for Medicare & Medicaid Services?

The John D Wisneski has been issued the NPI (National Provider Identifier) 1982699039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where John D Wisneski is geographically located?

The John D Wisneski is physically situated at the following location: 95 S Pagosa Blvd, Pagosa Springs, CO, 811478329.

What is John D Wisneski's specialized field of practice, and what is the corresponding taxonomy classification code?

The John D Wisneski's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the John D Wisneski receive the assignment of its 1982699039 from the Centers for Medicare & Medicaid Services?

The John D Wisneski was issued its 1982699039 by the Centers for Medicare & Medicaid Services on 2005-09-14.

As of what date was the information regarding John D Wisneski, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John D Wisneski, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-16.

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