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

PAUL JOHN WISNIEWSKI, D.O.

Active

PAUL JOHN WISNIEWSKI, D.O. is a Surgical Critical Care healthcare provider located in APPLE VALLEY, California. NPI 1063674190 is currently active in the NPPES registry. Verify at CMS.

Surgical Critical Care · APPLE VALLEY, CA

Registration Details

NPI Number
1063674190
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2008 (18.163322052292 yrs)
Last Updated
Oct 31, 2025
Licenses
CA209062 (CA)
OS 12023 (FL)
20A9062 (CA)
DO034774 (DC)

Practice Information

Address
18523 CORWIN RD STE A
APPLE VALLEY, CA, 923072300
Browse CA providers · Browse ZIP 92307
Phone
9093535285
Primary Specialty
Surgical Critical Care
2086S0102X
Additional Specialty
Surgical Critical Care
Additional Specialty
General Surgery
Additional Specialty
Surgical Critical Care
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.