SearchMichigan183500000X

Richard Walls

NPI 1538790225 · on the registry since 2020 · sole proprietor

Practice

Address
18600 Livernois Ave
Detroit, MI 48221
Phone
(313) 345-6020
Organisation at this address
Woodward Detroit Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-31

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