Individual
MARIANNE CHRISTINE WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
DR.0064076
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0064076
CO
Other
Enumeration date
04/14/2015
Last updated
03/05/2025
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