Magdy George Wanis, MD
Internal Medicine in St Clair Shores, MI. Individual provider (NPI-1).
NPI number1346353224
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346353224
- Entity type
- Individual (NPI-1)
- Name
- Magdy George Wanis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MW065519 | MI | Yes |
Practice location
23600 Harper AveSte 103
St Clair Shores, MI 48080
Phone 586-585-2570 · Fax 586-585-2574
Mailing address
23600 Harper AveSte 103
St Clair Shores, MI 48080
Phone 586-585-2570 · Fax 586-585-2574
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