NPI 1033128053

Jerome Anthony Wisniew, DPM

Practitioner Foot & Ankle Surgery Podiatrist San Diego, CA

Practice location

Address: 2306 6th Ave, San Diego, CA 92101-1643
Phone: (619) 232-0179
Mailing address: 2705 28th St, San Diego, CA 92104-4902

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence E1630 (CA)

Other Podiatrist providers in California →

Registry record

NPI: 1033128053
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2006
Record last updated: 15 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.