institution
Mitchell S. Wayne, Dpm, Pc
Primary Podiatric Medicine Podiatrist in West Bloomfield, Michigan
NPI 1043282346

Mitchell S. Wayne, Dpm, Pc is a Primary Podiatric Medicine Podiatrist based in West Bloomfield, MI and is specialized in Primary Podiatric Medicine. Mitchell S. Wayne, Dpm, Pc practices in West Bloomfield, MI. The NPI Number for Mitchell S. Wayne, Dpm, Pc is 1043282346 and holds a License No. 5901400097 (Michigan).

The current practice location address for Mitchell S. Wayne, Dpm, Pc is 7001 Orchard Lake Rd, West Bloomfield, MI and can be reached out via phone at 248-855-3232 and via fax at 248-855-3338.

Location: 7001 Orchard Lake Rd, West Bloomfield, MI, 48322-3604
institution
Provider Profile Details
NPI Number
1043282346
Provider Name
Mitchell S. Wayne, Dpm, Pc
Credential
Provider Entity Type
Organization
Address
7001 Orchard Lake Rd, West Bloomfield, MI, 48322-3604
Phone Number
248-855-3232
Fax Number
248-855-3338
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611678400 01 MI DEPARTMENT OF LABOR
CE9028 01 MI RAILROAD MEDICARE
4479604 01 MI AETNA HEALTHCARE
80395A 01 MI HEALTH PLUS OF MICHIGAN
0F372270 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
7001 Orchard Lake Rd
City
State
Zip
48322-3604
Phone Number
248-855-3232
Fax Number
248-855-3338
person
Provider Business Mailing Address Details
Address
7001 Orchard Lake Rd
City
State
Zip
48322-3604
Phone Number
248-855-3232
Fax Number
248-855-3338
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
5901400097 (Michigan)
Definition
Definition to come...
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