Individual
MR. WAYNE THOMAS WING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 E MAIN ST, SURGICAL SERVICE, DANVILLE, IL 61832-5100
(217) 554-5467
Mailing address
4 MAPLE CT, OGDEN, IL 61859-9765
(217) 582-2139
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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