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1033177027
WAYNE EUGENE WALCOTT
ANN ARBOR, MI
NPI
1033177027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 11148)
Enumeration Date
2006-05-02
Last Update Date
2007-07-08
Business Address
Dr. WAYNE EUGENE WALCOTT DDS MS
1910 PACKARD ST
ANN ARBOR, MI 48104-4734
Phone number: 734-994-3700
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Mailing Address
Dr. WAYNE EUGENE WALCOTT DDS MS
1910 PACKARD ST
ANN ARBOR, MI 48104-4734
Phone number: 734-994-3700
Copy
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