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MARK WISNIESKE D.C. NPI 1174883094


NPI Information

NPI: 1174883094
Provider Name: MARK WISNIESKE, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
18445 HIGHWAY 105 W
SUITE 100
MONTGOMERY, TX
ZIP 77356
Phone: (936) 448-2283
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Mark Wisnieske, D.C. is a chiropractor in Montgomery, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Mark Wisnieske, D.C. NPI is 1174883094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18445 HIGHWAY 105 W
SUITE 100
MONTGOMERY, TX
ZIP 77356-064
Phone: (936) 448-2283

The enumeration date for this NPI number is 5/24/2012 and was last updated on 5/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor11632TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.