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1740007236
MICHAEL WALLER
MILWAUKEE, WI
NPI
1740007236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12640-24)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
MICHAEL WALLER
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
MICHAEL WALLER
12312 W DONGES BAY RD
MEQUON, WI 53097-3312
Phone number: 262-455-6300
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