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Individual

DR. RICHARD A WANDZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
222 W HIGHLAND RD, HIGHLAND, MI 48357-4504
(248) 889-7600
(248) 889-5876
Mailing address
222 W HIGHLAND RD, HIGHLAND, MI 48357-4504
(248) 889-7600
(248) 889-5876

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
008319
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1751002
MI
01
P00689226
MEDICARE RAILROAD RETIREMENT
MI
Enumeration date
04/19/2006
Last updated
09/30/2011
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