Michael John Wanner, PHYSICIANASSISTANT
Michael John Wanner, PHYSICIANASSISTANT is a Physician Assistant in Mount Pleasant, Wisconsin. Qualified in 2018, 8 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 8
- Licensed in
- WI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
3811 Spring St # 102Mount Pleasant, WI 53405-1667
Phone: (262) 687-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4555 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548756299 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | July 5, 2018 |
| Last updated in NPPES | January 3, 2019 |
| Mailing address | 3811 Spring St # 102, Mount Pleasant, WI 53405-1667 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Mount Pleasant
-
Michael Scott Larrabee
5332 Zachary Dr, Mount Pleasant, WI 53403-9752 · (262) 498-5911
-
Paul Pamula
1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 · (262) 634-4646
-
Patricia Rivera, MD
3821 Spring St, Mount Pleasant, WI 53405-1667 · (262) 687-8460
-
Joseph Tate, DC
7033 Washington Ave Ste 102, Mount Pleasant, WI 53406-6524 · (262) 770-5997