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Individual

ERIK J WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
401 E CHESTNUT ST, STE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
2013-00994
NC
2086S0129X
Vascular Surgery Physician
Primary
48637
KY

Other

Enumeration date
03/30/2008
Last updated
10/08/2015
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