JEROME J WISNESKI MD
NPI 1376870550
Surgery in Grand Rapids, MI

Q: What is Jerome Wisneski's NPI number?

The NPI number for Jerome Wisneski is 1376870550. It was assigned to this individual provider in the NPPES registry on November 10, 2009.

Q: What is Jerome Wisneski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Wisneski was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2009

2338 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504(616) 453-7898 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jerome J Wisneski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME J WISNESKI MD (NPI 1376870550) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301027855) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1376870550

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJEROME J WISNESKICredential: MD

Location Address2338 LAKE MICHIGAN DR NWGrand Rapids, MI 49504-5969

Mailing Address2338 Lake Michigan Dr NwGrand Rapids, MI 49504-5969 · (616) 453-7898

Phone(616) 453-7898

Sole ProprietorYes

Enumeration DateNovember 10, 2009

✔ NPI 1376870550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301027855

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2338 LAKE MICHIGAN DR NW, Grand Rapids, MI 49504

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Wisneski's NPI number?

The NPI number for Jerome Wisneski is 1376870550. It was assigned to this individual provider in the NPPES registry on November 10, 2009.

Where is Jerome Wisneski located?

Jerome Wisneski practices at 2338 Lake Michigan Dr NW, Grand Rapids, MI 49504. The listed phone number is (616) 453-7898.

What is Jerome Wisneski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Jerome Wisneski was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.