DR. Michael Garrett Payne, D.D.S.

NPI #1225379571 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1225379571
Entity Type: Individual
Name: DR. Michael Garrett Payne, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: D.D.S.
Enumeration Date: Mar 12, 2013
Last Updated: Mar 12, 2013

Practice Location

Address: 608 N 63RD ST
City: Wauwatosa
State: Wisconsin
ZIP Code: 53213-4176
Phone: (262) 498-5989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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