MITCHELL S. WAYNE DPM PC NPI 1043282346

NPI Information

NPI: 1043282346
Provider Name: MITCHELL S. WAYNE, DPM, PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
7001 ORCHARD LAKE RD
SUITE 230B
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 855-3232
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MITCHELL S. WAYNE, DPM, PC is a primary podiatric medicine podiatrist in West Bloomfield, MI. MITCHELL S. WAYNE, DPM, PC NPI is 1043282346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7001 ORCHARD LAKE RD
SUITE 230B
WEST BLOOMFIELD, MI
ZIP 48322-604
Phone: (248) 855-3232
Fax: (248) 855-3338

The provider's authorized official is Mitchell S Wayne .
The authorized official title is President/owner and has the following contact phone number (248) 855-3232.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 7/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	5901400097	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4479604	OTHER	MICHIGAN	AETNA HEALTHCARE
2	0208720002	MEDICARE NSC	MICHIGAN
3	611678400	OTHER	MICHIGAN	DEPARTMENT OF LABOR
4	0F372270	OTHER	MICHIGAN	BCBSM
5	0N72110	MEDICARE PIN	MICHIGAN
6	CE9028	OTHER	MICHIGAN	RAILROAD MEDICARE
7	80395A	OTHER	MICHIGAN	HEALTH PLUS OF MICHIGAN
8	T34163	MEDICARE UPIN	MICHIGAN
9	0F37227	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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