Individual
DR. MICHAEL WALLERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
817 E 66TH ST, RICHFIELD, MN 55423-2506
(612) 488-1566
(612) 488-1564
Mailing address
817 E 66TH ST, RICHFIELD, MN 55423-2506
(612) 488-1566
(612) 488-1564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3573
MN
152WP0200X
Pediatric Optometrist
MN3573
MN
Other
Enumeration date
03/20/2017
Last updated
05/30/2025
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