Daniel L Walberer Pc | |
5930 Lovers Ln Portage MI 49002-1673 | |
(269) 344-6710 | |
(269) 344-8696 |
Full Name | Daniel L Walberer Pc |
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Speciality | Psychologist |
Location | 5930 Lovers Ln, Portage, Michigan |
Authorized Official Name and Position | Daniel Lee Walberer (OWNER) |
Authorized Official Contact | 2693446710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Daniel L Walberer Pc 5930 Lovers Ln Portage MI 49002-1673 Ph: (269) 344-6710 | Daniel L Walberer Pc 5930 Lovers Ln Portage MI 49002-1673 Ph: (269) 344-6710 |
NPI Number | 1962706531 |
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Provider Enumeration Date | 12/22/2010 |
Last Update Date | 01/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962706531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301007430 (Michigan) | Primary |
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