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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STANLEY WALTER WISNIOSKI III, D.O.

Active Sole Proprietor

DR. STANLEY WALTER WISNIOSKI III, D.O. is a Electrodiagnostic Medicine healthcare provider located in PALM BEACH GARDENS, Florida. NPI 1043399900 is currently active in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · PALM BEACH GARDENS, FL

Registration Details

NPI Number
1043399900
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2006 (19.774723976602 yrs)
Last Updated
Nov 16, 2020
Licenses
OS9152 (FL)
OS9152 (FL)
Sole Proprietor
Yes

Practice Information

Address
10887 N MILITARY TRL STE 5
PALM BEACH GARDENS, FL, 334106528
Browse FL providers · Browse ZIP 33410
Phone
5613249600
Fax
5617999980
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Electrodiagnostic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.