Michelle Wanserski

Primary specialty

DentistTaxonomy code 122300000X

License

1002254-15 Issued in WI

Practice address

3460 N Humboldt Blvd
Milwaukee, WI 53212-1702

Phone

(715) 581-2744

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1083276893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 E ERIE ST UNIT 612",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026251",
            "telephone_number": "715-581-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N HUMBOLDT BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121702",
            "telephone_number": "715-581-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSERSKI",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002254-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Wangerin, M.A.,CCC-SLP
• Ashley K Wanless, MD
• Carrie Lynn Wann, RN
• John Paul Wanner, M.D.
• Michael William Wanserski
• Rachel Wanta, PHARMD
• Adeline M Wantuch, PAC
• Rachel Ann Wantz, NP
• Brenda A Waoh, RN
• Mark J Waples, MD

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.