Organization
WAYNE COUNTY HEALTH DEPARTMENT
Active
Parent organization
WAYNE COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE COUNTY
Authorized official
MR. JAMES BANASZAK (ACCOUNTING SUPERVISOR)
(734) 727-7208
Entity
Organization
Contact information
Practice address
33030 VAN BORN RD, WAYNE, MI 48184-2453
(734) 727-7208
(737) 727-7005
Mailing address
33030 VAN BORN RD, WAYNE, MI 48184-2453
(734) 727-7208
(737) 727-7005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901010538
MI
122300000X
Dentist
2901011217
MI
122300000X
Dentist
2901012332
MI
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741846106
—
MI
05
—
744045109
—
MI
05
—
744054000
—
MI
Enumeration date
06/27/2008
Last updated
06/27/2008
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