Whalio Doctors

NPI 1669537072

Mark Lloyd Wisniewski, MD

Practitioner Pediatric Anesthesiology Physician Gillette, WY

Practice location

Address
1307 W 3rd St #b, Gillette, WY 82716-3343
Phone
(801) 707-1874

Registered specialties

Pediatric Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP3000X Licence 7134A (WY)

Registry record

NPI
1669537072
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Dec 2006
Record last updated
15 Jan 2015

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.