Individual
DR. STEVEN GARY WALVISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2935 HEALTH PKWY, MOUNT PLEASANT, MI 48858-8931
(989) 779-5270
(989) 779-5279
Mailing address
2935 HEALTH PKWY, MOUNT PLEASANT, MI 48858-8931
(989) 779-5270
(989) 779-5279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301053546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350C710040
BLUE CROSS
MI
05
—
4344387
—
MI
Enumeration date
06/01/2006
Last updated
03/07/2023
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