DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOHN D WISNESKI M.D.

MEDICARE: DR. JOHN D WISNESKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD20130017NM
2207Q00000XFamily Medicine PhysicianDR.0041986CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982699039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN D WISNESKI M.D.
Provider Business Mailing Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-3707
Provider Business Practice Location Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-3707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 02/16/2017

Similar Medicare Providers

1720081136 — PETER M DZIAD M.D.
Practice Location Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
81147-8329
Practice Phone: 970-731-3700
Practice Fax: 970-731-0504
1962406637 — DR. WILLIAM F WEBB MD
Practice Location Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
81147-8329
Practice Phone: 970-731-3700
Practice Fax: 970-731-0504
1598762494 — DR. RHONDA P WEBB MD
Practice Location Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
81147-8329
Practice Phone: 970-731-3700
Practice Fax: 970-731-3707
1275533713 — ROY TINGUELY MD
Practice Location Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
81147-8329
Practice Phone: 970-731-3700
Practice Fax: 970-731-2362
1316930506 — RICHARD A ZAK MD
Practice Location Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
81147-8329
Practice Phone: 970-731-3700
Practice Fax: 970-731-0504
1134107006 — DR. BARRY WAYNE HOLCOMB JR. MD,FCCP
Practice Location Address:
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO
81147-8329
Practice Phone: 970-731-3700
Practice Fax: 970-731-0511

Directions to “ DR. JOHN D WISNESKI M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.