Individual
MR. EDWARD J WASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1910 ALABAMA ST, STURGEON BAY, WI 54235-3532
(920) 746-7200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 746-7200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704202513
MI
363L00000X
Nurse Practitioner
6719
WI
363LF0000X
Family Nurse Practitioner
Primary
6719
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829560001
MEDICARE DME
MI
05
—
100051928
—
WI
01
—
EW202513
BCBS LICENSE NUMBER
MI
Enumeration date
10/02/2006
Last updated
11/17/2025
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