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Individual
MICHAEL JAMES WANNINGER
Active
Individual
MICHAEL JAMES WANNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
10008614
OR
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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