JOHN P. WUENNENBERG MD – NPI #1124554589
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

JOHN WUENNENBERG is a dermatologist located in MARQUETTE, MI. NPPES has assigned the NPI number 1124554589 to JOHN WUENNENBERG on May 04, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Dec 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN WUENNENBERG below.

NPI Profile for
JOHN P. WUENNENBERG

NPI Number
1124554589
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN P. WUENNENBERG
Credentials
MD
Primary location
1007 HARBOR HILLS DR STE C
MARQUETTE, MI 49855-8977
Phone: (906) 225-5458 Fax: (906) 225-1179
4 Other location(s):
3500 Ludington St Ste 300
Escanaba, MI 49829-4218
Phone: (906) 553-6093
Fax: (906) 553-6958
3515 Murray St
Marinette, WI 54143-3367
Phone: (715) 732-0699
Fax: (715) 732-3522
5501A Vern Holmes Dr
Stevens Point, WI 54482-9791
Phone: (715) 344-0172
Fax: (715) 344-3684
510 N 17th Ave Ste C
Wausau, WI 54401-4281
Phone: (715) 849-5333
Fax: (715) 849-4083
Mailing address
801 YORK ST
MANITOWOC, WI 54220-4630
Phone: (920) 663-9008 Fax: (920) 684-1439
Sole Proprietor
No
Updated
Certification Date
Dec 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
AL 023705
207ND0101X
- Dermatology / MOHS-Micrographic Surgery
MI 4301504930

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1007 HARBOR HILLS DR STE C,
MARQUETTE, MI 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3500 LUDINGTON ST STE 300,
ESCANABA, MI 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3515 MURRAY ST,
MARINETTE, WI 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
510 N 17TH AVE STE C,
WAUSAU, WI 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
5501A VERN HOLMES DR,
STEVENS POINT, WI 77025-1669

Additional Information

Education
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.