Search › Wisconsin › 1223G0001X
Mark Wanezek
NPI 1205992815 · on the registry since 2006
Practice
- Address
- 5151 S 108th St
Hales Corners, WI 53130 - Phone
- (414) 427-0900
- Fax
- (414) 427-1828
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin