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WANSOM MEDICAL CENTER, P.C.
NPI 1902061799
General Practice in Monroe, MI

Active since July 22, 2008
1492 N MONROE ST, MONROE, MI 48162(734) 242-3060(734) 242-3062 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wansom Medical Center, P.c. NPPES

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

WANSOM MEDICAL CENTER, P.C. (NPI 1902061799) is a healthcare organization registered as a general practice in Monroe, Michigan and active in the NPI registry since July 2008. The organization lists Chate Wansom, President, as its authorized official.

NPPES Registry Identity

NPI1902061799
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWANSOM MEDICAL CENTER, P.C.
Location Address1492 N MONROE STMonroe, MI 48162-4210
Mailing Address1492 N Monroe StMonroe, MI 48162-4210 · (734) 242-3060 · Fax (734) 242-3062
Phone(734) 242-3060
Fax(734) 242-3062
Organization SubpartNo
Authorized OfficialChate WansomPresident · (734) 242-3060
Enumeration DateJuly 22, 2008
✔ NPI 1902061799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301038906
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1492 N MONROE ST, Monroe, MI 48162
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Other Identifiers 3

Other0580012MI · Bcbs
Medicaid1395936MI
Medicare UPINA76076MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SAQIB RAZAQ, M.D.,P.C.
Internal Medicine
1492 N MONROE ST
MONROE, MI 48162
Monroe County (734) 457-3100
DR. CHATE WANSOM M.D.
General Practice
1492 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-3060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wansom Medical Center, P.C.'s NPI number?

The NPI number for Wansom Medical Center, P.C. is 1902061799. It was assigned to this organization in the NPPES registry on July 22, 2008.

Where is Wansom Medical Center, P.C. located?

Wansom Medical Center, P.C. is located at 1492 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 242-3060.

What is Wansom Medical Center, P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wansom Medical Center, P.C. was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.