Organization
WAYNE PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN GRAY MD (PRESIDENT)
(313) 577-3231
Entity
Organization
Contact information
Practice address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 577-5437
Mailing address
656 KIRBY, 4249 F.A.B., DETROIT, MI 48202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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