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Individual

DONALD L WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3590 LUCILLE DR, CINCINNATI, OH 45213-2674
(513) 475-8521
(513) 458-1982
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.051493
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0706258
OH
05
100024550
IN
05
64016454
KY
Enumeration date
07/15/2005
Last updated
12/05/2017
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