Individual
MATTHEW STEVENSON WAYNE
Active
Individual
MATTHEW STEVENSON WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35-069734
OH
207R00000X
Internal Medicine Physician
35-069734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221142
UNISON
OH
01
—
000000524532
ANTHEM
OH
05
—
2063672
—
OH
05
—
2073672
—
OH
01
—
414697
WELLCARE
OH
01
—
5496574
AETNA
OH
01
—
751025
BUCKEYE
OH
01
—
P00402008
MEDICARE RAILROAD
OH
Enumeration date
01/11/2006
Last updated
12/05/2008
Update your record
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