institution
Richard A. Wandzel, Do Pc
Facial Plastic Surgery Physician in Highland, Michigan
NPI 1225280407

Richard A. Wandzel, Do Pc is a Facial Plastic Surgery Physician based in Highland, MI and is specialized in Facial Plastic Surgery. Richard A. Wandzel, Do Pc practices in Highland, MI. The NPI Number for Richard A. Wandzel, Do Pc is 1225280407 and holds a License No. 5101008319 (Michigan).

The current practice location address for Richard A. Wandzel, Do Pc is 222 W Highland Rd, Highland, MI and can be reached out via phone at 248-889-7600 and via fax at 248-889-5876.

Location: 222 W Highland Rd, Highland, MI, 48357-4504
institution
Provider Profile Details
NPI Number
1225280407
Provider Name
Richard A. Wandzel, Do Pc
Credential
Provider Entity Type
Organization
Address
222 W Highland Rd, Highland, MI, 48357-4504
Phone Number
248-889-7600
Fax Number
248-889-5876
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1751002 05 MI
0456301784 01 MI BLUE CROSS
040F370330 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
222 W Highland Rd
City
State
Zip
48357-4504
Phone Number
248-889-7600
Fax Number
248-889-5876
person
Provider Business Mailing Address Details
Address
222 W Highland Rd
City
State
Zip
48357-4504
Phone Number
248-889-7600
Fax Number
248-889-5876
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
5101008319 (Michigan)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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