WAYNE THOMAS WING

DANVILLE, IL
NPI1699737585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085001600)
Enumeration Date2006-04-05
Last Update Date2007-07-08
Business Address
Mr. WAYNE THOMAS WING PA-C
1900 E MAIN ST SURGICAL SERVICE
DANVILLE, IL 61832-5100
Phone number: 217-554-5467
Mailing Address
Mr. WAYNE THOMAS WING PA-C
4 MAPLE CT
OGDEN, IL 61859-9765
Phone number: 217-582-2139
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