SearchMichigan207Y00000X

Jonathan Waxman

NPI 1386063824 · on the registry since 2014

Practice

Address
4201 Saint Antoine St
Uhc 5-E
Detroit, MI 48201
Phone
(313) 577-0804
Organisation at this address
Walgreen Co
Family Service
Vhs Of Michigan
Ahmed Sawah Md Pc
Rehab Alliance Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
803

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Also registered as
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-19

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 Michigan