Thomas G. Wayne M.d., P.l.l.c.
NPI #1508167206 in East China, Michigan
Provider Information
- NPI Number
- 1508167206
- Entity Type
- Organization
- Organization Name
- Thomas G. Wayne M.d., P.l.l.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 11, 2010
- Last Updated
- Nov 11, 2010
Practice Location
- Address
- 4150 S RIVER RD
- Address 2
- SUITE1
- City
- East China
- State
- Michigan
- ZIP Code
- 48054-2915
- Phone
- (810) 326-0858
Authorized Official
- Name
- DR. THOMAS G WAYNE, M.D.
- Title
- OWNER
- Phone
- (810) 326-0858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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