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Individual

RICHARD WALDMILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1131 IONIA AVE NW, GRAND RAPIDS, MI 49503-1020
(616) 323-1122
Mailing address
3922 MAYFIELD AVE NE APT 1J, GRAND RAPIDS, MI 49525-2355

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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