NPI 1033616909

Kyle Matthew Waisanen, MD

Practitioner Urology Physician Petoskey, MI

Practice location

Address: 932 Spring St STE 101, Petoskey, MI 49770-2286
Phone: (231) 489-8298
Fax: (231) 489-8299

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 4301513351 (MI)

Other Urology providers in Michigan →

Registry record

NPI: 1033616909
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2018
Record last updated: 11 Oct 2025

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.