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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAYNE JOLLY, PA-C

Active

WAYNE JOLLY, PA-C is a Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1679693436 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DETROIT, MI

Registration Details

NPI Number
1679693436
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.358674338674 yrs)
Last Updated
Oct 25, 2016
License
5601001710 (MI)

Practice Information

Address
4100 JOHN R ST
KARMANOS CANCER CENTER
DETROIT, MI, 482012013
Browse MI providers · Browse ZIP 48201
Phone
8005276266
Fax
3135768381
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DETROIT, MI

Name Credential NPI
JENNY L GRUNWALD P.A.-C 1124013016
KAREN L BRONSON PA-C 1295722270
MRS. SUSAN LYNN SIEPIERSKI PA 1609857952
AMY DERECZYK PA-C 1558349050
JULIA SWITZER PA 1528046505
CAROLE VANDYKE P.A. 1114997228
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.