Individual
DR. KYLE MATTHEW WAISANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
932 SPRING ST STE 101, PETOSKEY, MI 49770-2286
(231) 489-8298
(231) 489-8299
Mailing address
932 SPRING ST STE 101, PETOSKEY, MI 49770-2286
(231) 489-8298
(231) 489-8299
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301513351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118384100
—
FL
01
—
4301513351
MI LICENSE
MI
Enumeration date
04/09/2018
Last updated
10/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us