Individual
HANNAH LOUISE WANSITLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4272 W VIENNA RD, CLIO, MI 48420-9501
(810) 919-9415
(810) 686-1687
Mailing address
4272 W VIENNA RD, CLIO, MI 48420-9501
(248) 722-0483
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/10/2024
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