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Individual

DR. WAYNE ADAM DUNETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4450 E WASHINGTON AVE, LAS VEGAS, NV 89110-5783
(702) 821-6763
(702) 684-6015
Mailing address
PO BOX 31327, LAS VEGAS, NV 89173-1327
(702) 821-6763

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
9904
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9904
NV
363A00000X
Physician Assistant
PA637
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002402377
NV
Enumeration date
02/10/2007
Last updated
11/28/2022
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