Individual
GEORGE P WUENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1711 S STEPHENSON AVE STE 210, IRON MOUNTAIN, MI 49801-3649
(906) 776-5800
(906) 228-0200
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1204023
WI
363A00000X
Physician Assistant
Primary
5601003229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852210320
BCBS MI
MI
05
—
42868400
—
WI
01
—
P00297697
RR MEDICARE
WI
Enumeration date
11/16/2005
Last updated
11/17/2022
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