Michael Lee Wall II D.C.

NPI 1053520593 - Chiropractor - 111N00000X

NPI Details
NPI 1053520593
Gender Male
Enumeration Date 05/22/2007
Last Updated 02/16/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
TACOMA WA, 98444-4866, US
Phone (253) 531-5242
Fax (253) 537-7293
Business Location
8518 211TH AVE E
BONNEY LAKE WA, 98391-8498, US
Phone (253) 495-2218
Taxonomy Code 111N00000X
License State Washington
License Number CH00034640
Remove 1053520593 NPI Number

According to our database, Dr. Michael Lee Wall II D.C. NPI is 1053520593, taxonomy code is 111N00000X and license number is CH00034640, license state is located at Washington. Michael Lee Wall II D.C. physically located at 13412 Pacific Ave S, Tacoma WA, 98444-4866. NPI Number Michael Lee Wall II D.C. has the Individual type.

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1053520593 NPI number is provided on an as is basis without warranty of any kind. 1053520593 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Lee Wall II D.C. are for informational purposes only.