Individual
DR. MICHAEL ALAN WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.AC.
Contact information
Practice address
10 SHEREEN LN, LATHAM, NY 12110-3723
(518) 782-0723
(518) 782-0240
Mailing address
10 SHEREEN LN, LATHAM, NY 12110-3723
(518) 782-0723
(518) 782-0240
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001120
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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