Individual
STEPHEN FRANCIS WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 WEALTHY ST SE STE 300, GRAND RAPIDS, MI 49506-2969
(616) 774-8345
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101027261
MI
Other
Enumeration date
02/22/2017
Last updated
08/28/2023
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