Provider Demographics
NPI:1306166376
Name:WAYNE, SAMUEL MILTON (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:MILTON
Last Name:WAYNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10590 HIDDEN MESA PL
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6627
Mailing Address - Country:US
Mailing Address - Phone:831-372-5443
Mailing Address - Fax:831-372-5447
Practice Address - Street 1:10590 HIDDEN MESA PL
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6627
Practice Address - Country:US
Practice Address - Phone:831-372-5443
Practice Address - Fax:831-372-5447
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA16930207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery