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Dr. Mitchell S Wayne, DPM
Primary Podiatric Medicine Podiatrist in West Bloomfield, Michigan
NPI 1437121746

Mitchell S Wayne is a Primary Podiatric Medicine Podiatrist based in West Bloomfield, MI and is specialized in Primary Podiatric Medicine. Mitchell S Wayne practices in West Bloomfield, MI and has the professional credentials of DPM. The NPI Number for Mitchell S Wayne is 1437121746 and holds a License No. 5901400097 (Michigan).

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

Location: 7001 Orchard Lake Rd, West Bloomfield, MI, 48322-3604
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Provider Profile Details
NPI Number
1437121746
Provider Name
Mitchell S Wayne
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7001 Orchard Lake Rd, West Bloomfield, MI, 48322-3604
Phone Number
248-855-3232
Fax Number
248-855-3232
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T34163 01 MI HAP
000000012402 01 MI CAPE HEALTH PLAN
10105530003 01 MI WELLNESS PLAN
506728 01 MI CARE CHOICES
institution
Provider Business Practice Location Address Details
Address
7001 Orchard Lake Rd
City
State
Zip
48322-3604
Phone Number
248-855-3232
Fax Number
248-855-3232
person
Provider Business Mailing Address Details
Address
7001 Orchard Lake Rd
City
State
Zip
48322-3604
Phone Number
248-855-3232
Fax Number
248-855-3232
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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