Wasielewski, Paul G
Wasielewski, Paul G is an individual health care provider with primary practice located at 2122 Health Drive Sw , Wyoming MI 49519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wasielewski, Paul G can be contacted via phone (616) 252-5790.Contact Information
Primary practice address
2122 Health Drive Sw
Wyoming MI 49519
Phone: (616) 252-5790
Fax: (616) 252-5793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35069937 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301061355 | Michigan |
Profile Details
| NPI number | 1164402772 |
|---|---|
| LBN Legal business name | Wasielewski, Paul G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | May 1st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164402772 | NPPES |
| Michigan | MEDICAID | D16078467 | |
| Michigan | MEDICAID | 1164402772 | |
| Michigan | Other | CK6240 | |
| Michigan | MEDICAID | 0272084 |
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