Individual
DR. BRADLEY PHILIP WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5570 WILSON AVE SW STE MN, WYOMING, MI 49418-8867
(616) 259-8935
Mailing address
5570 WILSON AVE SW STE MN, WYOMING, MI 49418-8867
(616) 259-8935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2031401420
MI
111N00000X
Chiropractor
2301401420
MI
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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