Individual
LARRY WALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 722-4423
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 722-4423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089396
MI
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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