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

DR. KEITH WAYNE WISNIEWSKI, M.D.

Active Sole Proprietor

Dermatology · LUBBOCK, TX

Registration Details

NPI Number
1588792741
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2007 (19.169242799251 yrs)
Last Updated
Jun 5, 2020
License
M5588 (TX)
Sole Proprietor
Yes

Practice Information

Address
2202 ITHACA AVE
LUBBOCK, TX, 794101332
Browse TX providers · Browse ZIP 79410
Phone
8067971202
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in LUBBOCK, TX

Name Credential NPI
DR. JUSTIN WAYNE CLARK MD 1639164098
DR. RICHARD H HOPE MD 1457346819
DR. BRENT R. PAULGER M.D. 1093701468
DR. AMY ROCKY BRACKEEN MD 1427036417
DR. BRYAN HARRIS M.D. 1174553556
DR. MICHAEL DAVID LONG M.D. 1386676542
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.