Michael John Wanner, PHYSICIAN ASSISTANT
NPI #1548756299 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1548756299
- Entity Type
- Individual
- Name
- Michael John Wanner, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jul 5, 2018
- Last Updated
- Jan 3, 2019
Practice Location
- Address
- 3811 SPRING ST # 102
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53405-1667
- Phone
- (262) 687-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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