GARY WALLER

STERLING HEIGHTS, MI
NPI1568505592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Mr. GARY WALLER ATC
6220 1 AND A HALF HALF MILE ROAD
STERLING HEIGHTS, MI 48314
Phone number: 586-731-6603
Mailing Address
Mr. GARY WALLER ATC
13781 IRONWOOD DR
SHELBY TOWNSHIP, MI 48315-4226
Phone number: