Organization
WALTER R DRWAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER RANDALL DRWAL LP, PHD (PRESIDENT)
(810) 234-9036
Entity
Organization
Contact information
Practice address
3717 VAN SLYKE RD, SUITE 7, FLINT, MI 48507-1497
(810) 234-9036
Mailing address
3717 VAN SLYKE, SUITE 7, FLINT, MI 48507-1497
(810) 234-9036
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301013082
MI
Other
Enumeration date
07/02/2009
Last updated
07/16/2009
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