DR. WAYNE KENNETH STEFANCIW M.D.
NPI 1487645842
Urology in Traverse City, MI

Q: What is Wayne Stefanciw's NPI number?

The NPI number for Wayne Stefanciw is 1487645842. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Wayne Stefanciw's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Stefanciw was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2005

3922 CEDAR RUN RD, TRAVERSE CITY, MI 49684(231) 935-0322(231) 935-0334 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Wayne Kenneth Stefanciw M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE KENNETH STEFANCIW M.D. (NPI 1487645842) is an individual urology provider in Traverse City, Michigan, licensed in Michigan (4301032942) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1487645842

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. WAYNE KENNETH STEFANCIWCredential: M.D.

Location Address3922 CEDAR RUN RDTraverse City, MI 49684-9687

Mailing Address3922 Cedar Run RdTraverse City, MI 49684-9687 · (231) 935-0322 · Fax (231) 935-0334

Phone(231) 935-0322

Fax(231) 935-0334

Sole ProprietorNo

Enumeration DateNovember 3, 2005

Last NPPES UpdateJuly 21, 2011

✔ NPI 1487645842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MI · 4301032942

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3922 CEDAR RUN RD, Traverse City, MI 49684

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Other Identifiers 3

Medicare ID-Type UnspecifiedM61460002MI

Medicaid3480034MI

Medicare UPINB47178MI

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRAIG THOMAS KUESEL D.O.

Psychiatry & Neurology (Neurology)