MR. Thomas Gordon Wayne, MD

NPI #1861415754 in East China, Michigan

Provider Information

NPI Number: 1861415754
Entity Type: Individual
Name: MR. Thomas Gordon Wayne, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Sep 30, 2020

Practice Location

Address: 4150 S RIVER RD
Address 2: STE F1
City: East China
State: Michigan
ZIP Code: 48054
Phone: (810) 326-0858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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