Thomas G. Wayne M.D., P.L.L.C.

Family Medicine in East China, MI. Organization (NPI-2).

NPI number1508167206

StatusActive

Last updated in NPPESNov 11, 2010

Details

NPI: 1508167206
Entity type: Organization (NPI-2)
Legal business name: Thomas G. Wayne M.D., P.L.L.C.
Organization subpart: No
Enumeration date: Nov 11, 2010
Last updated: Nov 11, 2010

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	4301047530	MI	Yes

Practice location

4150 S River Rd
Suite1
East China, MI 48054-2915

Phone 810-326-0858 · Fax 810-326-0933

Mailing address

4150 S. River Rd.
Suite1
East China, MI 48054-2915

Phone 810-326-0858 · Fax 810-326-0933

Authorized official

Thomas G Wayne
Owner
8103260858

Is something wrong?

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Other Family Medicine Physician providers in East China, MI

All 14 Family Medicine Physician providers in East China · All 87 providers in East China

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