JAMES L WALLER

BURLINGTON, WI
NPI1093375966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4760)
Enumeration Date2019-06-13
Last Update Date2022-06-10
Business Address
JAMES L WALLER PA-C
709 SPRING VALLEY RD
BURLINGTON, WI 53105-7614
Phone number: 262-767-6020
Mailing Address
JAMES L WALLER PA-C
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 262-767-6020