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Individual

DR. WAYNE E CLOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8001 ROWAN RD, SUITE 201, CRANBERRY TWP, PA 16066-3617
(724) 776-4577
(724) 776-5226
Mailing address
8001 ROWAN RD, SUITE 201, CRANBERRY TWP, PA 16066-3616
(724) 776-4577
(724) 776-5226

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002566L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
63652
HIGHMARK
PA
Enumeration date
08/29/2006
Last updated
12/27/2012
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