David Wallis

NPI 1134685167 · on the registry since 2019

Practice

Address: 1400 E 12 Mile Rd
Madison Heights, MI 48071
Phone: (248) 658-1116
Fax: (248) 658-1120
Organisation at this address: Millennium Treatment Services
Premier Services Of Michigan, Llc
Millennium Treatment Services, Llc
Millennium Treatment Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-02-14

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 Michigan