Individual
WAYNE LEE WASEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4120 W MEMORIAL RD, SUITE 218, OKLAHOMA CITY, OK 73120-9320
(405) 302-2661
(405) 302-2670
Mailing address
4120 W MEMORIAL RD, SUITE 218, OKLAHOMA CITY, OK 73120-9320
(405) 302-2661
(405) 302-2670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10843
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100129160A
—
OK
Enumeration date
02/03/2006
Last updated
06/10/2016
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