Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Waller, CCP

Individual provider Perfusionist · NPI 1275956344

John Waller, CCP is a Perfusionist in Livonia, Michigan. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

31330 Schoolcraft Rd Ste 200
Livonia, MI 48150-2041
Phone: (734) 525-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1275956344
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedJanuary 27, 2014
Last updated in NPPESJanuary 27, 2014
Mailing address31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041

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