Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle Matthew Waisanen, MD

Individual provider Urology Physician · NPI 1033616909

Dr. Kyle Matthew Waisanen, MD is an Urology in Petoskey, Michigan. Qualified in 2017, 9 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

932 Spring St Ste 101
Petoskey, MI 49770-2286
Phone: (231) 489-8298
Fax: (231) 489-8299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 N State St, Saint Ignace, MI 49781-1048 — (906) 643-8585

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301513351 (MI)

Record details

NPI number1033616909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESOctober 11, 2025
Certification dateOctober 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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