Individual
DR. JON MASTER WARDNER
Active
Individual
DR. JON MASTER WARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
JW407403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250007537
RAILROAD MEDICARE
MI
01
—
250H110020
BCBS OF MICHIGAN
MI
05
—
2713472
—
MI
Enumeration date
10/31/2005
Last updated
06/30/2021
Update your record
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