Individual
DR. MITCHELL S WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901400097
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012402
CAPE HEALTH PLAN
MI
01
—
10105530003
WELLNESS PLAN
MI
01
—
506728
CARE CHOICES
MI
01
—
T34163
HAP
MI
Enumeration date
02/02/2006
Last updated
01/08/2008
Update your record
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