Provider Demographics
NPI:1417005513
Name:WAYNE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:WAYNE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNEEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-657-3386
Mailing Address - Street 1:19111 W TEN MILE RD
Mailing Address - Street 2:SUITE # A-4B
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:313-657-3386
Mailing Address - Fax:
Practice Address - Street 1:19111 W TEN MILE RD
Practice Address - Street 2:SUITE # A-4B
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:313-657-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies