SearchMichigan163W00000X

Mark Wanless

NPI 1902754666 · on the registry since 2026 · sole proprietor

Practice

Address
1132 Round Lake Rd
White Lake, MI 48386
Phone
(248) 387-9260

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-18

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 Michigan