Wally S Mahar Md Pllc

NPI 1578862645 - Family Medicine - 207Q00000X

NPI Details
NPI 1578862645
Enumeration Date 03/15/2011
Last Updated 03/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WALLY S WALLY
Position OWNER
Phone (313) 221-6939
Fax
Practice Location
7795 ELIZABETH LAKE RD
WATERFORD MI, 48327-3603, US
Phone (313) 221-6939
Fax
Business Location
7795 ELIZABETH LAKE RD
WATERFORD MI, 48327-3603, US
Phone (313) 221-6939
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301030215
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According to our database, Wally S Mahar Md Pllc NPI is 1578862645, taxonomy code is 207Q00000X and license number is 4301030215, license state is located at Michigan. Wally S Mahar Md Pllc physically located at 7795 Elizabeth Lake Rd, Waterford MI, 48327-3603. NPI Number 1033115704 has the healthcare provider type.

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1578862645 NPI number is provided on an as is basis without warranty of any kind. 1578862645 is maintained by the National Plan & Provider Enumeration System. The contents of Wally S Mahar Md Pllc are for informational purposes only.