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1215369251
MICHAEL J WAISANEN
ANN ARBOR, MI
NPI
1215369251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006639)
Enumeration Date
2013-08-01
Last Update Date
2013-08-01
Business Address
-- MICHAEL J WAISANEN PA-C
1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP B
ANN ARBOR, MI 48109-5000
Phone number: 734-936-8857
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Mailing Address
-- MICHAEL J WAISANEN PA-C
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108-1633
Phone number: 734-936-2047
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