Individual
MICHAEL D WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 OLENTANGY RIVER RD, RMH 4 TOWER ICU, COLUMBUS, OH 43214-3908
(614) 566-4691
(614) 566-6854
Mailing address
PO BOX 20452, COA-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35067189
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0987875
—
OH
01
—
WA4046881
RR MEDICARE
OH
Enumeration date
08/31/2005
Last updated
01/05/2022
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