MARIELLEN WAZNY


Address: 3009 N Saginaw Rd, Midland, MI 48640-4555
Phone: 9896331350

MARIELLEN WAZNY (NPI# 1033138581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033138581
Entity Type Individual
Full Name MARIELLEN WAZNY
Credential PAC
Practice Address 3009 N Saginaw Rd
Midland
MI 48640-4555
Practice Telephone 9896331350
Practice Fax Number 9896331353
Mailing Telephone 9896331350
Mailing Fax Number 9896331353
Enumeration Date 2006-07-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601001316 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NCCPA# WAZNY 1008807 01

Office Location

Street Address 3009 N SAGINAW RD
City MIDLAND
State MI
Zip Code 48640-4555

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538158415 Darren Colby Briseno Physician Assistant 3009 N Saginaw Rd, Midland, MI 48640-4555 2005-10-14
1750891685 Paige Clare Physician Assistant 3009 N Saginaw Rd, Midland, MI 48640-4555 2017-10-05
1396198438 Christina Marie Rumble Nurse Practitioner 3009 N Saginaw Rd, Midland, MI 48640-4555 2016-07-13
1316325954 Midmichigan Medical Center Midland Clinic/Center 3009 N Saginaw Rd, Midland, MI 48640-4555 2015-05-15
1831510890 Midmichigan Physicians Group Clinic/Center 3009 N Saginaw Rd, Midland, MI 48640-4555 2013-12-18
1235449901 Susan Marie Kleinhans Nurse Practitioner 3009 N Saginaw Rd, Midland, MI 48640-4555 2010-10-15
1881855872 Midmichigan Urgent Care Midland General Practice 3009 N Saginaw Rd, Midland, MI 48640-4555 2008-06-23
1609981224 Jeffrey P Striebel Family Medicine 3009 N Saginaw Rd, Midland, MI 48640-4555 2006-08-21
1982613535 Karen R Miljour Family Medicine 3009 N Saginaw Rd, Midland, MI 48640-4555 2006-08-05
1639194244 Andrew P Bone Family Medicine 3009 N Saginaw Rd, Midland, MI 48640-4555 2006-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407481260 Sdpa Management Pllc Dentist 4915 Jefferson Ave., Midland, MI 48640 2020-03-11
1598237364 Michelle Marie Arthur Occupational Therapist 3007 North Saginaw Rd, Midland, MI 48640 2018-12-18
1295202349 Personal Assistance Options Private Vehicle 1509 Washington Street, Suite C, Midland, MI 48640 2018-10-26
1972094720 Ashley E Cline Technician, Other 5405 Oakridge Dr., Midland, MI 48640 2018-05-27
1669963898 Hope Richelle Walker Social Worker 396 S 9 Mile Rd, Midland, MI 48640 2018-05-23
1568964807 David Isaac Bearss Physical Therapist 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 2018-03-02
1295237741 Ashley Michelle Ghose Physical Therapist 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 2018-03-01
1801306055 Elizabeth Diana Dickerson Social Worker 218 Fast Lane Drive, Midland, MI 48640 2017-10-02
1528502275 Sheila Jensen Behavior Technician 248 E Dopp Rd, Midland, MI 48640 2016-12-15
1518328657 Becky Staudacher Technician, Other 707 Mill St, Midland, MI 48640 2016-03-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619523644 Lillian Moreno Physician Assistant 3600 N Garfield St., Midland, TX 79705 2019-08-15
1790251031 Valarie Ramirez Alcala Physician Assistant 3400 Andrews Hwy, Midland, TX 79703-5100 2018-10-14
1487136537 Heather Zamarron Physician Assistant 4400 N Midland Dr Ste 406b, Midland, TX 79707-3388 2018-09-05
1003214511 Laura Sonnenburg Physician Assistant 4214 Andrews Hwy Ste 306, Midland, TX 79703-4870 2014-12-15
1437356730 Johnny Lynn Flitton Physician Assistant 3401 Greenbriar, Suite 200, Midland, TX 79707-4652 2007-06-29
1942411038 George Roger Vaillant Physician Assistant 119 Steele Creek Dr, Midland, GA 31820-4597 2007-05-24
1629139555 Julie M. Davidson Physician Assistant 122 North N Street, Midland, TX 79701-6409 2006-12-13
1902994999 Meredith Leigh Letzer Physician Assistant 4500 N Campus Ridge Dr, Midland, MI 48640-6123 2006-10-11
1538171616 Midland Complete Family Care and Associates Physician Assistant 4310 W Illinois Ave, Ste 320, Midland, TX 79703-5529 2006-08-13
1437175163 Nanette R Paredes Physician Assistant 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 2006-07-14
Find all providers in MIDLAND

Competitor

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City MIDLAND
Zip Code 48640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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