Individual
DR. MICHAEL LEE WALL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13412 PACIFIC AVE S, TACOMA, WA 98444-4866
(253) 531-5242
(253) 537-7293
Mailing address
8518 211TH AVE E, BONNEY LAKE, WA 98391-8498
(253) 495-2218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034640
WA
Other
Enumeration date
05/22/2007
Last updated
02/16/2012
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