Individual
MICHAEL WALLERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 375-3355
(907) 562-1603
Mailing address
4300 B ST, STE 200, ANCHORAGE, AK 99503-5933
(907) 375-3355
(907) 375-3351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
133703
AK
208M00000X
Hospitalist Physician
Primary
176205
AK
Other
Enumeration date
05/02/2018
Last updated
10/06/2021
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