Search › Wisconsin › 363A00000X
Michael Wanner, PHYSICIAN ASSISTANT
NPI 1548756299 · on the registry since 2018
Practice
- Address
- 3811 Spring St # 102
Mount Pleasant, WI 53405 - Phone
- (262) 687-5800
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-03
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