| Wayne Physician Services Pc | |
|
3800 Woodward Ave Suite #1125 Detroit MI 48201-2061 | |
| (313) 832-8008 | |
| Not Available |
| Full Name | Wayne Physician Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Frank Patino (CEO) |
| Authorized Official Contact | 3138328008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Physician Services Pc 3800 Woodward Ave Suite #1125 Detroit MI 48201-2061 Ph: (313) 832-8008 | Wayne Physician Services Pc 3800 Woodward Ave Suite #1125 Detroit MI 48201-2061 Ph: (313) 832-8008 |
| NPI Number | 1609174366 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609174366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301051672 (Michigan) | Primary |
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