Jeffrey L Wasielewski (NPI# 1639193915, PAC ID# 5799917944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1639193915 |
| PAC ID by PECOS | 5799917944 |
| Professional Enrollment ID | I20140506000457 |
| Full Name | Jeffrey L Wasielewski |
| Organization Legal Name | PLYMOUTH ORAL AND FACIAL SURGERY PLC |
| Address |
3055 Plymouth Rd Suite 202 Ann Arbor MI 48105-3208 |
| Phone Number | 7347615885 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY |
| Graduation Year | 2006 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 9739311986 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3055 Plymouth Rd, Suite 202, Ann Arbor, MI 48105-3208 | 7347615885 | PLYMOUTH ORAL AND FACIAL SURGERY PLC |
| 9416 S Main St, Suite 211, Plymouth, MI 48170-4183 | 7344550710 | PLYMOUTH ORAL AND FACIAL SURGERY PLC |
| Organization Legal Name | PLYMOUTH ORAL AND FACIAL SURGERY PLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Sturtz | Oral Surgery | Plymouth Oral and Facial Surgery Plc | 9416 S Main St, Suite 211, Plymouth, MI 48170-4183 |
| Richard P Bartling | Maxillofacial Surgery | Plymouth Oral and Facial Surgery Plc | 3055 Plymouth Rd, Suite 202, Ann Arbor, MI 48105-3208 |
| Norman J Betts | Oral Surgery | Plymouth Oral and Facial Surgery Plc | 3055 Plymouth Rd, Suite 202, Ann Arbor, MI 48105-3208 |
| Street Address |
3055 PLYMOUTH RD SUITE 202 |
| City | ANN ARBOR |
| State | MI |
| Zip | 48105-3208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracey L Wilkerson | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 3055 Plymouth Rd, Suite 103, Ann Arbor, MI 48105-3208 |
| Wagma-marzia N Woodside | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 3055 Plymouth Rd, Suite 103, Ann Arbor, MI 48105-3208 |
| David K Vallance | Rheumatology | 3055 Plymouth Rd, Suite 102, Ann Arbor, MI 48105-3208 | |
| Karen Wilkinson Wright | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 3055 Plymouth Rd, Suite 103, Ann Arbor, MI 48105-3208 |
| Nasser N Sukhon | Internal Medicine | 3055 Plymouth Rd, Suite 107, Ann Arbor, MI 48105-3222 | |
| Richard P Bartling | Maxillofacial Surgery | Plymouth Oral and Facial Surgery Plc | 3055 Plymouth Rd, Suite 202, Ann Arbor, MI 48105-3208 |
| Norman J Betts | Oral Surgery | Plymouth Oral and Facial Surgery Plc | 3055 Plymouth Rd, Suite 202, Ann Arbor, MI 48105-3208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Poonam R Sripada | Clinical Social Worker | Rmj1 | 2200 Green Rd, Suite M, Ann Arbor, MI 48105-1569 |
| Pamela Shore | Internal Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Blanka Girard | Internal Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Kristi M Ramirez | Nurse Practitioner | Rmj1 | 2200 Green Rd, Suite M, Ann Arbor, MI 48105-1569 |
| Eric J Straka | Internal Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Elissa S Gaies | Internal Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Peter R Paul | Geriatric Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Sara Hashemian | Internal Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Craig A Lemmen | Psychiatry | Rmj1 | 2200 Green Rd, Suite M, Ann Arbor, MI 48105-1569 |
| Martha Leigh Gray | Internal Medicine | Partners In Internal Medicine Pllc | 2200 Green Rd B, Ann Arbor, MI 48105-1569 |
| Find all physicians in zip 48105 | |||
| City | ANN ARBOR |
| Zip Code | 48105 |
| Specialty | ORAL SURGERY |
| City + Specialty | ANN ARBOR + ORAL SURGERY |
Please comment or provide details below to improve the information on Jeffrey L Wasielewski.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.