Individual
DR. JON MASTER WARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, SUITE R2009, YPSILANTI, MI 48197-1014
(734) 712-0050
(734) 712-0055
Mailing address
5333 MCAULEY DR, SUITE R2009, YPSILANTI, MI 48197-1014
(734) 712-0050
(734) 712-0055
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
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