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Individual

DR. WALTER MERLE WALLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4526 FEDERAL AVE, BLDG 9, EVERETT, WA 98203
(425) 349-6320
(425) 349-6325
Mailing address
4526 FEDERAL AVE, BLDG 9, EVERETT, WA 98203
(425) 349-6320
(425) 349-6325

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00014381
WA

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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