Organization
WAYT HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TIMOTHY WAYT M.D. (MEMBER)
(304) 845-5700
Entity
Organization
Contact information
Practice address
1612 WHEELING AVE, GLEN DALE, WV 26038-1734
(304) 845-5700
(304) 845-7400
Mailing address
1612 WHEELING AVE, GLEN DALE, WV 26038-1734
(304) 845-5700
(304) 845-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18396
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047663000
—
WV
Enumeration date
09/14/2007
Last updated
12/31/2009
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