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Richard Wallus
NPI 1992886410 · on the registry since 2006
Practice
- Address
- 100 Michigan Nw
Suite A721
Grand Rapids, MI 49503 - Phone
- (616) 974-4493
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-02-04
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