Individual
WALLY SHERMAN MAHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 MIDLAND ST, HIGHLAND PARK, MI 48203-3727
(248) 698-2094
(877) 218-9387
Mailing address
21 MIDLAND ST, HIGHLAND PARK, MI 48203-3727
(586) 556-1997
(313) 731-7025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301030215
MI
Other
Enumeration date
05/23/2006
Last updated
12/21/2023
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