Individual
DR. STEVEN ALLEN WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3780 MEDINA RD, STE. 200, MEDINA, OH 44256-9311
(330) 722-3083
(330) 725-5043
Mailing address
3780 MEDINA RD, STE. 200, MEDINA, OH 44256-9311
(330) 722-3083
(330) 725-5043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.092020
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2884928
—
OH
01
—
4250581
MEDICARE ID
OH
01
—
4250582
MEDICARE ID
OH
01
—
4250584
MEDICARE ID
OH
Enumeration date
03/03/2008
Last updated
11/11/2011
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