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Individual
GEORGE P WUENSCH
Active
Individual
GEORGE P WUENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1204023
WI
363A00000X
Physician Assistant
Primary
5601003229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852210320
BCBS MI
MI
05
—
42868400
—
WI
01
—
P00297697
RR MEDICARE
WI
Enumeration date
11/16/2005
Last updated
11/17/2022
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