# OASIS HEALTH UROLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oasis Health Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215724745
- **Authorized official:** KYLE MATTHEW WAISANEN MD (OWNER)
- **Authorized official phone:** (231) 489-8298

## Contact information

- **Practice address:** 932 SPRING ST STE 101, PETOSKEY, MI 49770-2286
- **Practice address phone:** (231) 489-8298
- **Practice address fax:** (231) 489-8299
- **Mailing address:** 932 SPRING ST STE 101, PETOSKEY, MI 49770-2286
- **Mailing address phone:** (231) 489-8298
- **Mailing address fax:** (231) 489-8299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 08/11/2025