Wayne, Mitchell S

Wayne, Mitchell S is an individual health care provider with primary practice located at 7001 Orchard Lake Rd Suite 230B, West Bloomfield MI 48322-3604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Wayne, Mitchell S can be contacted via phone (248) 855-3232.

Contact Information

Primary practice address
7001 Orchard Lake Rd Suite 230B West Bloomfield MI 48322-3604
Phone: (248) 855-3232
Fax: (248) 855-3232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901400097 Michigan

Profile Details

NPI number 1437121746
LBN Legal business name Wayne, Mitchell S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437121746 NPPES
Michigan Other T34163 HAP
Michigan Other 000000012402 HAP
Michigan Other 10105530003 HAP
Michigan Other 506728 HAP

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