Individual
DR. MICHAEL T WAYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1612 WHEELING AVE, GLEN DALE, WV 26038-1734
(304) 845-5700
Mailing address
1612 WHEELING AVE, GLEN DALE, WV 26038-1734
(304) 845-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18396
WV
Other
Enumeration date
09/15/2005
Last updated
12/31/2009
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