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1972560092
WAYNE PROKOTT
BINGHAM FARMS, MI
NPI
1972560092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4901060883)
Enumeration Date
2006-05-01
Last Update Date
2007-11-07
Business Address
-- WAYNE PROKOTT D.O.
30200 TELEGRAPH RD SUITE 220
BINGHAM FARMS, MI 48025-4502
Phone number: 248-258-5058
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Mailing Address
-- WAYNE PROKOTT D.O.
8419 MISTY MDWS
GRAND BLANC, MI 48439-7428
Phone number:
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