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Organization

WAYNE COUNTY HEALTH DEPARTMENT

Active
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Organization

WAYNE COUNTY HEALTH DEPARTMENT

Active
Parent organization
WAYNE COUNTY
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAYNE COUNTY
Authorized official
MR. JAMES BANASZAK (ACCOUNTING SUPERVISOR)
(734) 727-7208
Entity
Organization

Contact information

Practice address
33030 VAN BORN RD, WAYNE, MI 48184-2453
(734) 727-7208
(737) 727-7005
Mailing address
33030 VAN BORN RD, WAYNE, MI 48184-2453
(734) 727-7208
(737) 727-7005

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901010538
MI
122300000X
Dentist
2901011217
MI
122300000X
Dentist
2901012332
MI
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741846106
—
MI
05
—
744045109
—
MI
05
—
744054000
—
MI
Enumeration date
06/27/2008
Last updated
06/27/2008
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