| Thomas G. Wayne M.d., P.l.l.c. | |
|
4150 S River Rd Suite1 East China MI 48054-2915 | |
| (810) 326-0858 | |
| (810) 326-0933 |
| Full Name | Thomas G. Wayne M.d., P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4150 S River Rd, East China, Michigan |
| Authorized Official Name and Position | Thomas G Wayne (OWNER) |
| Authorized Official Contact | 8103260858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G. Wayne M.d., P.l.l.c. 4150 S. River Rd. Suite1 East China MI 48054-2915 Ph: (810) 326-0858 | Thomas G. Wayne M.d., P.l.l.c. 4150 S River Rd Suite1 East China MI 48054-2915 Ph: (810) 326-0858 |
| NPI Number | 1508167206 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508167206 | NPI | - | NPPES |
| ON22610 | Other | MEDICARE ID-TYPE UNSPECIFIED | |
| 0807408272 | Other | BCBSM | |
| 4277711 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301047530 (Michigan) | Primary |
St. John River District Physician Practices Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 S River Rd, East China, MI 48054 Phone: 800-848-0202 Fax: 586-226-6949 | |
St. Clair Infectious Diseases Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4050 River Rd, Ste 2, East China, MI 48054 Phone: 810-329-2268 Fax: 810-329-0966 | |
Mark T. O'brien, D.o., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4150 River Rd, Suite F2, East China, MI 48054 Phone: 810-329-4660 Fax: 810-329-4699 | |
Medflex P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 Hospital Dr, East China, MI 48054 Phone: 810-329-4736 | |
Laura Lucio-reincke, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3436 S River Rd, Ste B, East China, MI 48054 Phone: 810-326-3540 Fax: 810-326-3541 | |
Kenneth Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 River Rd, East China, MI 48054 Phone: 810-329-7111 |