WAYNE PARK

ROSEVILLE, MI
NPI1720472301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: MI  L581371)
Enumeration Date2015-03-23
Last Update Date2015-03-23
Business Address
Mr. WAYNE PARK LMT
27850 GRATIOT AVE
ROSEVILLE, MI 48066-4803
Phone number: 586-772-5876
Mailing Address
Mr. WAYNE PARK LMT
57232 NEWPORT LN
WASHINGTON, MI 48094-3033
Phone number: 586-275-8008