Philip E Walling OD

NPI 1003837733 - Optometrist - 152W00000X

NPI Details
NPI 1003837733
Gender Male
Enumeration Date 07/21/2006
Last Updated 09/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1124 S STATE ST
MCO 101H
BIG RAPIDS MI, 49307-2256, US
Phone (231) 591-2020
Fax (231) 591-3991
Business Location
1124 S STATE ST
MCO 101H
BIG RAPIDS MI, 49307-2256, US
Phone (231) 591-2020
Fax (231) 591-3991
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003260
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According to our database, Dr. Philip E Walling OD NPI is 1003837733, taxonomy code is 152W00000X and license number is 4901003260, license state is located at Michigan. Philip E Walling OD physically located at 1124 S State St, Big Rapids MI, 49307-2256. NPI Number Philip E Walling OD has the Individual type.

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1003837733 NPI number is provided on an as is basis without warranty of any kind. 1003837733 is maintained by the National Plan & Provider Enumeration System. The contents of Philip E Walling OD are for informational purposes only.