Richard Arlen Wallus
Richard Arlen Wallus is a Physician Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
100 Michigan NW Ste A721Grand Rapids, MI 49503
Phone: (616) 974-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601001365 (MI) |
|---|
Record details
| NPI number | 1992886410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | February 4, 2011 |
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