Provider Demographics
NPI:1982600938
Name:WAYNER, ROBERT FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANK
Last Name:WAYNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:23961 CALLE DE LA MAGDALENA
Mailing Address - Street 2:STE 300
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3665
Mailing Address - Country:US
Mailing Address - Phone:949-837-1891
Mailing Address - Fax:949-830-4061
Practice Address - Street 1:23961 CALLE DE LA MAGDALENA
Practice Address - Street 2:STE 300
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3665
Practice Address - Country:US
Practice Address - Phone:949-837-1891
Practice Address - Fax:949-830-4061
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-23
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAG66013207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAX52932Medicare UPIN