Kiesnowski, Brian
Kiesnowski, Brian is an sole proprietor health care provider with primary practice located at 5605 Waterford Ln , Appleton WI 54913-8438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kiesnowski, Brian can be contacted via phone (920) 738-7200.Contact Information
Primary practice address
5605 Waterford Ln
Appleton WI 54913-8438
Phone: (920) 738-7200
Fax: (920) 738-1906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 41995-020 | Wisconsin |
Profile Details
| NPI number | 1285607317 |
|---|---|
| LBN Legal business name | Kiesnowski, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Nov 19th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285607317 | NPPES |
| Wisconsin | MEDICAID | 32627900 |
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