Individual
DR. WAYNE A CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29809 E RIVER RD, GROSSE ILE, MI 48138-1935
(734) 676-1861
Mailing address
29809 E RIVER RD, GROSSE ILE, MI 48138-1935
(734) 676-1861
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35061084
OH
207L00000X
Anesthesiology Physician
Primary
4301055158
MI
207L00000X
Anesthesiology Physician
MD430318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0812400
—
OH
01
—
300067305 1063493948
HEALTHNET
—
05
—
3427215-10
—
MI
Enumeration date
06/14/2006
Last updated
12/30/2013
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