Dr. Stanley Walter Wisnioski III
Family Doctor Neuromusculoskeletal Medicine (NMM)
10887 N Military Trl Ste 5
Palm Beach Gardens
, Florida 33410-6528
Dr. Stanley Walter Wisnioski III
Family Doctor Neuromusculoskeletal Medicine (NMM)
10887 N Military Trl Ste 5
Palm Beach Gardens
, Florida 33410-6528
(561) 779-9980
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Stanley Walter Wisnioski III
- 10887 N Military Trl Ste 5
- Palm Beach Gardens, FL
- Zip : 33410-6528
- Fax : (561) 779-9980
- Phone : (561) 324-9600
Second Address
- Dr. Stanley Walter Wisnioski III
- 10887 N Military Trl Ste 5
- Palm Beach Gardens, FL
- Zip : 33410-6528
- Fax : (561) 799-9980
- Phone : (561) 324-9600
Reviews
FAQs
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What type of doctor is Dr. Stanley Walter Wisnioski III
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What is Dr. Stanley Walter Wisnioski III’s gender?
Is Dr. Stanley Walter Wisnioski III a sole practitioner?
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Does Dr. Stanley Walter Wisnioski III have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS9152 | FL |
| N | 207Q00000X | Family Doctor | OS9152 | FL |
National Provider Identifier
| NPI | 1043399900 |
|---|---|
| Provider Name | Dr. Stanley Walter Wisnioski III |
| First Address | Palm Beach Gardens, FL 33410-6528 |
| Second Address | Palm Beach Gardens, FL 33410-6528 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 16/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 52028 | BLUE CROSS BLUE SHIELD ID (01) | FL |
| I17071 | (02) | FL |
| K6281 | MEDICARE GROUP ID (01) | FL |
| OS9152 | MEDICAL LICENSE NUMBER (01) | FL |
| U3317Z | MEDICARE SIFFIX (01) | FL |
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.