Individual
DR. MAX THEODORE WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022009640
MO
207RP1001X
Pulmonary Disease Physician
2022009640
MO
207RP1001X
Pulmonary Disease Physician
Primary
4301502333
MI
Other
Enumeration date
06/06/2016
Last updated
08/07/2023
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