Individual
MR. BRIAN LEROY WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
SIOUX FALLS VA MEDICAL CENTER, 2501 W. 22ND STREET, SIOUX FALLS, SD 57117-5046
(605) 336-3230
(605) 333-6804
Mailing address
3234 S SERENITY TRL, SIOUX FALLS, SD 57103-6576
(605) 275-0864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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