Search › Wisconsin › 343900000X
Damien Payne
NPI 1053796524 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1087 Westport Dr Apt 155
Port Washington, WI 53074 - Phone
- (414) 208-0605
- Fax
- (262) 364-2336
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin