# DR. BRETT S. WALLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457557613
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 01068450A | IN | — |
| 207R00000X | Internal Medicine Physician | 7984164-1205 | UT | Yes |
| 207R00000X | Internal Medicine Physician | 81245 | AZ | — |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 06/02/2025