JEFFREY J. WISNIEWSKI P.A.C.
NPI 1508896614
Physician Assistant in Alpena, MI

Q: What is Jeffrey Wisniewski's NPI number?

The NPI number for Jeffrey Wisniewski is 1508896614. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Jeffrey Wisniewski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 04, 2006

1501 W CHISHOLM ST, ALPENA, MI 49707(989) 356-7390(989) 340-1214 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffrey J. Wisniewski P.a.c. NPPES

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

JEFFREY J. WISNIEWSKI P.A.C. (NPI 1508896614) is an individual physician assistant in Alpena, Michigan, licensed in Michigan (5601003807) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508896614

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJEFFREY J. WISNIEWSKICredential: P.A.C.

Location Address1501 W CHISHOLM STAlpena, MI 49707-1401

Mailing Address1014 Sixth St, Ste. 103Traverse City, MI 49684-2381 · (989) 340-1211 · Fax (989) 340-1214

Phone(989) 356-7390

Fax(989) 340-1214

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 25, 2014

✔ NPI 1508896614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601003807

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1501 W CHISHOLM ST, Alpena, MI 49707

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Other Identifiers 1

Medicare UPINQ68497

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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