Search › Michigan › 172M00000X
Wayne Park, LMT
NPI 1720472301 · on the registry since 2015 · sole proprietor
Practice
- Address
- 27850 Gratiot Ave
Roseville, MI 48066 - Phone
- (586) 772-5876
- Organisation at this address
- Lupo Chiropractic Life Center, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 172M00000X
172M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-23
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