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John Wallis, D.MIN

NPI 1023161197 · on the registry since 2007

Practice

Address
1417 Se 4th St
Ft Lauderdale, FL 33301
Phone
(954) 463-2273
Fax
(954) 779-1643

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida