Wallis Chiropractic Health Center Pllc | |
10985 Middlebelt Rd, Livonia, MI 48150-3056 | |
(734) 427-3550 | |
(734) 422-5567 |
Full Name | Wallis Chiropractic Health Center Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 10985 Middlebelt Rd, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518401801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301008685 (Michigan) | Primary |
Provider Name | Brandon K Wallis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528112877 PECOS PAC ID: 3577633312 Enrollment ID: I20080605000021 |
Mailing Address | Practice Location Address |
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Wallis Chiropractic Health Center Pllc 10985 Middlebelt Rd, Livonia, MI 48150-3056 Ph: (734) 427-3550 | Wallis Chiropractic Health Center Pllc 10985 Middlebelt Rd, Livonia, MI 48150-3056 Ph: (734) 427-3550 |
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