Stefanciw, Wayne Kenneth
Stefanciw, Wayne Kenneth is an individual health care provider with primary practice located at 3922 Cedar Run Rd , Traverse City MI 49684-9687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stefanciw, Wayne Kenneth can be contacted via phone (231) 935-0322.Contact Information
Primary practice address
3922 Cedar Run Rd
Traverse City MI 49684-9687
Phone: (231) 935-0322
Fax: (231) 935-0334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301032942 | Michigan |
Profile Details
| NPI number | 1487645842 |
|---|---|
| LBN Legal business name | Stefanciw, Wayne Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 21st, 2011 - about 13 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 | 1487645842 | NPPES |
| Michigan | MEDICAID | 3480034 |
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