Individual
DR. MARTIN J WAALKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007258
MI
Other
Enumeration date
05/17/2007
Last updated
03/29/2011
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