Individual
DR. KYLE WALLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12403 STARK RD, LIVONIA, MI 48150-1552
(734) 335-0533
Mailing address
12403 STARK RD, LIVONIA, MI 48150-1552
(734) 335-0533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010281
MI
Other
Enumeration date
01/26/2015
Last updated
07/21/2016
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