Individual
DR. WAYNE J MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1702 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
(765) 362-5100
(765) 362-5171
Mailing address
1702 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
(765) 362-5100
(765) 362-5171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1717
WV
207Q00000X
Family Medicine Physician
Primary
34006715
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039654
OHIO MEDICAID MOLINA
OH
05
—
2039654
—
OH
01
—
292801
OHIO MEDICAID UNISON
OH
01
—
310917085219
OHIO MEDICAID CARESOURCE
OH
05
—
5630064000
—
WV
01
—
P00787559
RAILROAD MEDICARE
OH
Enumeration date
07/21/2006
Last updated
03/05/2025
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