Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wansom Medical Center, PC

Organization General Practice Physician · NPI 1902061799

Wansom Medical Center, PC provides General Practice Physician services in Monroe, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1492 N Monroe St
Monroe, MI 48162-4210 Not confirmed with CMS for 18 years — call before visiting
Phone: (734) 242-3060
Fax: (734) 242-3062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 4301038906 (MI)

Record details

NPI number1902061799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chate Wansom — President · (734) 242-3060
NPI enumeratedJuly 22, 2008
Last updated in NPPESJuly 22, 2008
Mailing address1492 N Monroe St, Monroe, MI 48162-4210

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