WAYNE JOLLY

DETROIT, MI
NPI1679693436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601001710)
Enumeration Date2007-03-29
Last Update Date2016-10-25
Business Address
-- WAYNE JOLLY PA-C
4100 JOHN R ST KARMANOS CANCER CENTER
DETROIT, MI 48201-2013
Phone number: 800-527-6266
Mailing Address
-- WAYNE JOLLY PA-C
1560 E MAPLE RD SUITE 400-CREDENTIALING
TROY, MI 48083-1138
Phone number: 800-527-6266