Walter Wade Morrissey JR. M.D.

NPI 1043393705 - Internal Medicine - 207R00000X

NPI Details
NPI 1043393705
Gender Male
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1516 MANCHESTER AVE
WESTCHESTER IL, 60154-3726, US
Phone (630) 215-3085
Fax
Business Location
1516 MANCHESTER AVE
WESTCHESTER IL, 60154-3726, US
Phone (630) 215-3085
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 36110468
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According to our database, Dr. Walter Wade Morrissey JR. M.D. NPI is 1043393705, taxonomy code is 207R00000X and license number is 36110468, license state is located at Illinois. Walter Wade Morrissey JR. M.D. physically located at 1516 Manchester Ave, Westchester IL, 60154-3726. NPI Number Walter Wade Morrissey JR. M.D. has the Individual type.

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1043393705 NPI number is provided on an as is basis without warranty of any kind. 1043393705 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Wade Morrissey JR. M.D. are for informational purposes only.