Provider Demographics
NPI:1942847363
Name:WAYTES, ARTHUR THOMAS (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:THOMAS
Last Name:WAYTES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2490 SCIO RD
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9716
Mailing Address - Country:US
Mailing Address - Phone:517-899-9060
Mailing Address - Fax:
Practice Address - Street 1:2490 SCIO RD
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-9716
Practice Address - Country:US
Practice Address - Phone:518-899-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301050205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine