Individual provider · Type 1 NPI

Michael Garrett Payne, DDS

Student in an Organized Health Care Education/Training Program · Wauwatosa, WI

NPI number 1225379571 Active

Practice location

608 N 63rd St
Wauwatosa, WI 53213-4176

Call (262) 498-5989 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225379571

Michael Garrett Payne, DDS's National Provider Identifier is 1225379571, issued on Mar 12, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 12, 2013.