Individual
MICHAEL WAYNE PASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1272 EAST STREET, WAYNESVILLE, NC 28786-3437
(828) 456-3511
(828) 456-3583
Mailing address
1272 EAST STREET, WAYNESVILLE, NC 28786-3437
(828) 456-3511
(828) 456-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65796
BCBS
NC
05
—
8965796
—
NC
Enumeration date
10/11/2006
Last updated
09/04/2012
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