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Dr. Michael Garrett Payne, DDS
Student in an Organized Health Care Education/Training Program in Wauwatosa, Wisconsin
NPI 1225379571

Michael Garrett Payne is a Student in an Organized Health Care Education/Training Program based in Wauwatosa, WI. Michael Garrett Payne practices in Wauwatosa, WI and has the professional credentials of DDS. The NPI Number for Michael Garrett Payne is 1225379571 and holds a License No. (Wisconsin).

The current practice location address for Michael Garrett Payne is 608 N 63Rd St, Wauwatosa, WI and can be reached out via phone at 262-498-5989.

Location: 608 N 63Rd St, Wauwatosa, WI, 53213-4176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225379571
Provider Name
Michael Garrett Payne
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
608 N 63Rd St, Wauwatosa, WI, 53213-4176
Phone Number
262-498-5989
Fax Number
Provider Enumeration Date
03/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
608 N 63Rd St
City
Wauwatosa
State
Wisconsin
Zip
53213-4176
Phone Number
262-498-5989
Fax Number
person
Provider Business Mailing Address Details
Address
608 N 63Rd St
City
Wauwatosa
State
Wisconsin
Zip
53213-4176
Phone Number
262-498-5989
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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