IndividualActive
Jason Wisniewski, DPM
NPI 1598970477 · Foot & Ankle Surgery Podiatrist · Las Vegas, NV
Provider details
- NPI number
- 1598970477
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2016 (NV)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
500 N Rainbow Blvd Ste 300-307
Las Vegas, NV 89107-1082
Phone: (888) 495-4489
Fax: (602) 865-8090
Approximate (ZIP-level) locationGet directions
Mailing address
7620 E Mckellips Rd Ste 4-225
Scottsdale, AZ 85257-4600
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2019-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.