NPI 1154786929

Michael R Wanlass DDS LTD

Organisation Prosthetic/Orthotic Supplier Las Vegas, NV

Practice location

Address: 2625 S Rainbow Blvd Suite C-100, Las Vegas, NV 89146-5198
Phone: (702) 367-4412

Authorised official

Name: Michael Wanlass
Title: President
Phone: (702) 367-4412

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 2287 (NV)

Other Prosthetic/Orthotic Supplier providers in Nevada →

Registry record

NPI: 1154786929
Entity type: Organization
NPI issued: 22 Dec 2015
Record last updated: 22 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.