DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL JOHN WANNER, PHYSICIAN ASSISTANT

Active

MICHAEL JOHN WANNER, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1548756299 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOUNT PLEASANT, WI

Registration Details

NPI Number
1548756299
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2018 (8.0702540110091 yrs)
Last Updated
Jan 3, 2019
License
4555 (WI)

Practice Information

Address
3811 SPRING ST # 102
MOUNT PLEASANT, WI, 534051667
Browse WI providers · Browse ZIP 53405
Phone
2626875800
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MOUNT PLEASANT, WI

Name Credential NPI
DIANE L. BILLMYER P.A. 1891729224
KIRSTEN J ANTONNEAU PAC 1467526400
ASHLEY A CYR P.A.-C 1922207778
MRS. VIET VIGNIERI PA-C 1073845905
ANGELA K GLEISNER PA-C 1154636447
MISS ALISSA MARIE MCMAHON ALISSA MCMAHON, PA-C 1629408968
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.