Search › Michigan › 207Q00000X
Gregory Wallin, MD
NPI 1790070803 · on the registry since 2011
Practice
- Address
- 1986 Mall Pl
Benton Harbor, MI 49022 - Phone
- (269) 945-5854
- Fax
- (369) 945-5854
- Organisation at this address
- Pokagon Band Of Potawatomi Indians
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 430 Warrenville Rd Ste 310, Lisle, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207QB0002X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-26
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