IndividualActive
Mark Wisniewski, M.D.
NPI 1669537072 · Pediatric Anesthesiology Physician · Gillette, WY
Provider details
- NPI number
- 1669537072
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7134A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1307 W 3rd St
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Gillette, WY 82716-3343
Phone: (801) 707-1874
Approximate (ZIP-level) locationGet directions
Mailing address
1307 W 3rd St
Gillette, WY 82716-3343
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2015-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.