IndividualActive
Brian Wanner, D.O.
NPI 1982137725 · MOHS-Micrographic Surgery Physician · Mesa, AZ
Provider details
- NPI number
- 1982137725
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 83813 (SC)
Practice location
2250 W Southern Ave Ste 102
Mesa, AZ 85202-4736
Phone: (480) 835-5532
Mailing address
2250 W Southern Ave Ste 102
Mesa, AZ 85202-4736
Registry dates
- Enumerated
- 2017-04-08
- Last updated
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.