NPI 1003837733

Philip E Walling, OD

Practitioner Optometrist Big Rapids, MI

Practice location

Address: 1124 S State St McO 101h, Big Rapids, MI 49307-2256
Phone: (231) 591-2020
Fax: (231) 591-3991

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901003260 (MI)

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Registry record

NPI: 1003837733
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 26 Sep 2012

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.