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1821250184

NPI Code Detail

MEDICARE: WAYNE COUNTY HEALTH DEPARTMENT

MEDICARE: WAYNE COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901012332	MI
2	122300000X	Dentist	2901011217	MI
3	122300000X	Dentist	2901010538	MI
4	122300000X	Dentist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821250184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYNE COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	33030 VAN BORN RD
Second Line	:
City	:	WAYNE
State	:	MI
Zip	:	48184-2453
Country	:	US
Telephone Number	:	734-727-7208
Fax Number	:	737-727-7005

Provider Business Practice Location Address
First Line	:	33030 VAN BORN RD
Second Line	:
City	:	WAYNE
State	:	MI
Zip	:	48184-2453
Country	:	US
Telephone Number	:	734-727-7208
Fax Number	:	737-727-7005

Authorized Official
Title or Position	:	ACCOUNTING SUPERVISOR
Name	:	MR. JAMES BANASZAK
Credential	:
Telephone Number	:	734-727-7208

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	06/27/2008

Similar Medicare Providers

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Practice Location Address:

33030 VAN BORN RD
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48184-2453

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Practice Location Address:

33030 VAN BORN RD
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Practice Location Address:

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WAYNE, MI
48184-2453

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Practice Fax:

1467509737 — DR. DAVID MICHAEL REPASKY D.D.S., M.P.H.
Practice Location Address:

33030 VAN BORN RD
WAYNE, MI
48184-2453

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Practice Fax: 734-727-7005

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Practice Location Address:

33030 VAN BORN RD
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Practice Fax:

1033328521 — RUTA SHARANGPANI M.D.
Practice Location Address:

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Directions to “WAYNE COUNTY HEALTH DEPARTMENT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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