Whalio Doctors

NPI 1497960447

Physicians Resources Network, PC

Organisation Specialist Waterford, MI

Practice location

Address
7795 Elizabeth Lake Rd, Waterford, MI 48327-3603
Phone
(248) 698-3129
Fax
(248) 698-3129

Authorised official

Name
Wally Sherman Mahar
Title
Ceo, Cfo, Chairman of the Board
Phone
(248) 698-3129

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 4301030215 (MI)

Registry record

NPI
1497960447
Entity type
Organization
NPI issued
13 May 2007
Record last updated
21 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.