Walter Merle Wallis MD

NPI 1548355191 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1548355191
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4526 FEDERAL AVE
BLDG 9
EVERETT WA, 98203, US
Phone (425) 349-6320
Fax (425) 349-6325
Business Location
4526 FEDERAL AVE
BLDG 9
EVERETT WA, 98203, US
Phone (425) 349-6320
Fax (425) 349-6325
Toxanomy
Taxonomy Code 2084P0804X
License State Washington
License Number MD00014381
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According to our database, Dr. Walter Merle Wallis MD NPI is 1548355191, taxonomy code is 2084P0804X and license number is MD00014381, license state is located at Washington. Walter Merle Wallis MD physically located at 4526 Federal Ave, Everett WA, 98203. NPI Number Walter Merle Wallis MD has the Individual type.

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1548355191 NPI number is provided on an as is basis without warranty of any kind. 1548355191 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Merle Wallis MD are for informational purposes only.