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Organization
WAYNE GROUP SYSTEMS, INC.
Active
Organization
WAYNE GROUP SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEYSIS MONTALVO (PRESIDENT)
(786) 343-5799
Entity
Organization
Contact information
Practice address
2074 S WAYNE RD, WESTLAND, MI 48186-5428
(734) 722-8054
(734) 722-8419
Mailing address
2074 S WAYNE RD, WESTLAND, MI 48186-5428
(734) 722-8054
(734) 722-8419
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
01/11/2008
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