Dr. Jerome Anthony Wisniew
Foot & Ankle Surgery
2306 6th Ave
San Diego
, California 92101-1643
Dr. Jerome Anthony Wisniew
Foot & Ankle Surgery
2306 6th Ave
San Diego
, California 92101-1643
(619) 232-0179
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jerome Anthony Wisniew
- 2705 28th St
- San Diego, CA
- Zip : 92104-4902
- Phone : (619) 232-0179
Second Address
- Dr. Jerome Anthony Wisniew
- 2306 6th Ave
- San Diego, CA
- Zip : 92101-1643
- Phone : (619) 232-0179
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | E1630 | CA |
National Provider Identifier
| NPI | 1033128053 |
|---|---|
| Provider Name | Dr. Jerome Anthony Wisniew |
| First Address | San Diego, CA 92104-4902 |
| Second Address | San Diego, CA 92101-1643 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E16300 | (05) | CA |
| T19127 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.