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EDWARD J WASIE
500 CAMPUS DR HANCOCK MI 499301569
EDWARD J WASIE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1538252572. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1759303175. The primary specialty is NURSE PRACTITIONER. The organization is PORTAGE PHYSICIAN PRACTICES INC. The address is 500 CAMPUS DR, , HANCOCK, MI, 499301569. The zip code is 499301569.
|Nation Provider ID||1538252572|
|PAC ID by PECOS||1759303175|
|Professional Enrollment ID||I20051229000346|
|Name||EDWARD J WASIE|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||PORTAGE PHYSICIAN PRACTICES INC|
|Group Practice PAC ID||6103053509|
|Number of Group Practice members||34|
|Address||500 CAMPUS DR, , HANCOCK, MI, 499301569|
|Hospital affiliation LBN||DOOR COUNTY MEMORIAL HOSPITAL|