Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE WAISANEN, MD
Active Sole ProprietorSTEPHANIE WAISANEN, MD is a Family Medicine healthcare provider located in PETOSKEY, Michigan. NPI 1679078265 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PETOSKEY, MI
Registration Details
- NPI Number
- 1679078265
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2018 (8.3887937657532 yrs)
- Last Updated
- Aug 19, 2025
- Licenses
-
ME150513 (FL)4301503564 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
932 SPRING ST STE 101PETOSKEY, MI, 497702286Browse MI providers · Browse ZIP 49770
- Phone
- 2314898298
- Fax
- 2314898299
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PETOSKEY, MI
| Name | Credential | NPI |
|---|---|---|
| ELEANOR J HOST | M.D. | 1518963560 |
| DR. RICHARD W MANSFIELD | D.O. | 1518922988 |
| DR. MICHAEL J. BACON | D.O. | 1912965799 |
| JANET TALMO | MD | 1932152071 |
| DR. VINCENT JAN WINKLERPRINS | M.D. | 1215971098 |
| DR. WILLIAM LOUIS NIKSCH | M.D. | 1902825714 |
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.