Dr. Richard A Wandzel
Facial Plastic Surgeon
222 W Highland Rd
Highland
, Michigan 48357-4504
Dr. Richard A Wandzel
Facial Plastic Surgeon
222 W Highland Rd
Highland
, Michigan 48357-4504
(248) 889-5876
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Richard A Wandzel
- 222 W Highland Rd
- Highland, MI
- Zip : 48357-4504
- Fax : (248) 889-5876
- Phone : (248) 889-7600
Second Address
- Dr. Richard A Wandzel
- 222 W Highland Rd
- Highland, MI
- Zip : 48357-4504
- Fax : (248) 889-5876
- Phone : (248) 889-7600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 008319 | MI |
National Provider Identifier
| NPI | 1174588370 |
|---|---|
| Provider Name | Dr. Richard A Wandzel |
| First Address | Highland, MI 48357-4504 |
| Second Address | Highland, MI 48357-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 30/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1751002 | (05) | MI |
| A77094 | (02) | MI |
| P00689226 | MEDICARE RAILROAD RETIREMENT (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.