Individual
JOHN PAUL WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22959
WI
207XS0117X
Orthopaedic Surgery of the Spine Physician
22959
WI
390200000X
Student in an Organized Health Care Education/Training Program
35.141394
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/21/2016
Last updated
08/22/2022
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