Organization

Wayne Pediatrics Inc.

Pediatrics Physician in Detroit, MI(View on Map)

Legal Business Name

Wayne Pediatrics Inc.

NPI Number

1760015622

NPI Type

Organization

Enumeration Date

02/19/2020

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

656 KIRBY, 4249 F.A.B.
400 MACK AVE

City

Detroit
Detroit

State

MI
MI

Postal Code

48202
48201-2136

Country

US
US

Telephone Number

N/A
(313) 577-5437

Authorized Official

Name

Dr. Herman Gray

Title or Position

PRESIDENT

Telephone Number

(313) 577-3231

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/19/2020

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