Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brian Kiesnowski, MD

Individual provider Plastic Surgery Physician · NPI 1285607317

Dr. Brian Kiesnowski, MD is a Plastic and Reconstructive Surgery in Appleton, Wisconsin. Graduated from Rush Medical College of Rush University in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
34
Trained at
Rush Medical College of Rush University
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5605 Waterford Ln
Appleton, WI 54913-8438
Phone: (920) 738-7200
Fax: (920) 738-1906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 41995-020 (WI)

Record details

NPI number1285607317
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 9, 2006
Last updated in NPPESNovember 19, 2009
Mailing address5605 Waterford Ln, Appleton, WI 54913-8438

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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