Wisnioski, Stanley Walter

Wisnioski, Stanley Walter is an sole proprietor health care provider with primary practice located at 10887 N Military Trl Ste 5 , Palm Beach Gardens FL 33410-6528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Wisnioski, Stanley Walter can be contacted via phone (561) 324-9600.

Contact Information

Primary practice address
10887 N Military Trl Ste 5 Palm Beach Gardens FL 33410-6528
Phone: (561) 324-9600
Fax: (561) 799-9980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9152 Florida
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS9152 Florida

Profile Details

NPI number 1043399900
LBN Legal business name Wisnioski, Stanley Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Nov 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043399900 NPPES
Florida Other 52028 BLUE CROSS BLUE SHIELD ID
Florida Other K6281 BLUE CROSS BLUE SHIELD ID
Florida Other U3317Z BLUE CROSS BLUE SHIELD ID
Florida Other OS9152 BLUE CROSS BLUE SHIELD ID

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